Organization Active NPI

S&S Miller Rd, LLC

  • General Practice Dentistry
  • Plattsburgh, NY
National Provider Identifier
1821205543
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
S&S MILLER RD, LLC
Practice address
326 Tom Miller Rd
Plattsburgh, NY 12901-6430
Phone
(518) 563-7097
Fax
(518) 563-9690
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Authorized official

Name
Miss Lauren M Simpson
Title
Regional Manager
Phone
(518) 536-1261

Specialties & licenses 1

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

Addresses

Primary practice location

326 Tom Miller Rd
Plattsburgh, NY 12901-6430

Mailing address

326 Tom Miller Rd
Plattsburgh, NY 12901-6430
Phone (518) 563-7097

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1821205543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 TOM MILLER RD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016430",
            "telephone_number": "518-563-7097",
            "fax_number": "518-563-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 TOM MILLER RD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016430",
            "telephone_number": "518-563-7097",
            "fax_number": "518-563-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&S MILLER RD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "518-536-1261",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.