NPIMap

Organization Active NPI

Miles Family Dental

  • Dentist
  • Antioch, IL
National Provider Identifier
1851622187
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019025595 Issued in IL
Legal business name
MILES FAMILY DENTAL
Practice address
417 E Il Route 173
Suite 113
Antioch, IL 60002
Phone
(847) 395-5550
Fax
(847) 395-5575
NPI assigned
Jan 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Authorized official

Name
Dr. Jeffrey P Miles, D.M.D.NPI 1033299334
Title
President
Phone
(847) 395-5550

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019025595 IL Primary

Addresses

Primary practice location

417 E Il Route 173
Suite 113
Antioch, IL 60002

Mailing address

417 E Il Route 173
Suite 113
Antioch, IL 60002
Phone (847) 395-5550

National Provider Directory

National Provider Directory

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": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1851622187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 E IL ROUTE 173",
            "address_2": "SUITE 113",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "60002",
            "telephone_number": "847-395-5550",
            "fax_number": "847-395-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E IL ROUTE 173",
            "address_2": "SUITE 113",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "60002",
            "telephone_number": "847-395-5550",
            "fax_number": "847-395-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-395-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.