Clinton S Miller, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2227 Issued in ND

Practice address

302 2ND Ave SW
Jamestown, ND 58401-4157

Phone

(701) 252-1661

NPI assigned

Jun 9, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinton S. Miller P.C.

  • Dental Clinic/Center
  • Jamestown, ND
  • NPI 1891177200
  NPD Authorized official
• Edward a Anderson DDS PC

  • General Practice Dentistry
  • Jamestown, ND
  • NPI 1588766166
  NPD (past)

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1821224577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 2ND AVE SW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584014157",
            "telephone_number": "701-252-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 2ND AVE SW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584014157",
            "telephone_number": "701-252-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CLINTON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "7356970-9922",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "2227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara J Mickelson, FNP
• Dustin R Miemietz, PEER SUPPORT
• Tina Mikkelson
• Brittany Marie Mildenberger
• Adam D. Miller, PSY.D.
• Amanda Kathleen Mindt, MS, OTR/L
• Carmen Mittleider, APRN,CNP
• Halie Mittleider
• Julie Renee Mittleider, LPN
• Chelsea Modlin, LSCW

• General Practice Dentistry in Jamestown, ND
• Providers in Jamestown, ND by specialty
• General Practice Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.