NPIMap

Organization Active NPI

Miller Dental Associates, Incorporated

  • General Practice Dentistry
  • Columbia, MO
National Provider Identifier
1801014139
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12090 Issued in MO
Legal business name
MILLER DENTAL ASSOCIATES, INCORPORATED
Practice address
904 Elm St
Suite 214
Columbia, MO 65201-4875
Phone
(573) 443-2434
Fax
(573) 443-2496
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. E Lynn Miller, D.D.S.NPI 1538388640
Title
President
Phone
(573) 443-2434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12090 MO Primary

Addresses

Primary practice location

904 Elm St
Suite 214
Columbia, MO 65201-4875

Mailing address

904 Elm St
Suite 214
Columbia, MO 65201-4875
Phone (573) 443-2434

National Provider Directory

National Provider Directory

Locations

904 Elm St
Ste 214
Columbia, MO 65201
Phone (573) 443-2434

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801014139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 ELM ST",
            "address_2": "SUITE 214",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014875",
            "telephone_number": "573-443-2434",
            "fax_number": "573-443-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 ELM ST",
            "address_2": "SUITE 214",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014875",
            "telephone_number": "573-443-2434",
            "fax_number": "573-443-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER DENTAL ASSOCIATES, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-443-2434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "12090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.