Active NPI
Jessica Marie Parker Miller, DDS
- Dentist
- Brookville, OH
National Provider Identifier
1821438540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30.023938
- Practice address
- 460 Rona Pkwy
Brookville, OH 45309-1118 - Phone
- (937) 833-4411
- NPI assigned
- Jun 26, 2013
- Last updated
- Jul 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30.023938 | OH | Primary |
Addresses
Primary practice location
460 Rona Pkwy
Brookville, OH 45309-1118
Mailing address
460 Rona Pkwy
Brookville, OH 45309-1118
Phone (937) 833-4411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.023938 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Alexandrunas D Hudoba Dental 1 Inc | Current | Accepting new patients | |
| Jessica M.P. Miller, D.D.S., LLC | Current | Accepting new patients |
Locations
460 Rona Pkwy
Brookville, OH 45309
Phone (937) 833-4054
924 Shroyer Rd
Dayton, OH 45419
Phone (937) 293-8272
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Miller Family Dental Center
- Dental Clinic/Center
- Brookville, OH
- NPI 1578391801
-
dba Premier Dental of Oakwood
- Dental Clinic/Center
- Dayton, OH
- NPI 1154922003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1821438540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 RONA PKWY",
"city": "BROOKVILLE",
"state": "OH",
"postal_code": "453091118",
"telephone_number": "937-833-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 RONA PKWY",
"city": "BROOKVILLE",
"state": "OH",
"postal_code": "453091118",
"telephone_number": "937-833-4411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JESSICA",
"middle_name": "MARIE PARKER",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-26",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.023938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.