Organization Active NPI

Miller Dental Associates

  • Dental Clinic/Center
  • Saint Petersburg, FL
National Provider Identifier
1821148297
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN 15709 Issued in FL
Legal business name
MILLER DENTAL ASSOCIATES
Practice address
900 Carillon Pkwy
Suite 307
Saint Petersburg, FL 33716-1115
Phone
(727) 561-0555
Fax
(727) 561-0562
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Authorized official

Name
Dr. Nathan Charles Miller, D.M.D.NPI 1487704854
Title
Owner
Phone
(727) 561-0555

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
Dental Clinic/Center 261QD0000X DN 15709 FL Primary

Addresses

Primary practice location

900 Carillon Pkwy
Suite 307
Saint Petersburg, FL 33716-1115

Mailing address

900 Carillon Pkwy
Suite 307
Saint Petersburg, FL 33716-1115
Phone (727) 561-0555

National Provider Directory

National Provider Directory

Locations

900 Carillon Pkwy
Ste 307
St Petersburg, FL 33716
Phone (727) 561-0555

Practitioners & affiliated clinicians

Practitioners 1

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1821148297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CARILLON PKWY",
            "address_2": "SUITE 307",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337161115",
            "telephone_number": "727-561-0555",
            "fax_number": "727-561-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CARILLON PKWY",
            "address_2": "SUITE 307",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337161115",
            "telephone_number": "727-561-0555",
            "fax_number": "727-561-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-561-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN 15709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.