NPIMap

Organization Active NPI

Greg Miller, DDS, Inc

Doing business as Marin Braces

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Novato, CA
National Provider Identifier
1851768360
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
55699 Issued in CA
Legal business name
GREG MILLER, DDS, INC
Doing business as
Marin Braces
Practice address
1730 Novato Blvd
Suite I
Novato, CA 94947-3048
Phone
(415) 897-4191
NPI assigned
Sep 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Dr. Greg Charles Miller, DDS, MSNPI 1083800783
Title
Ceo
Phone
(562) 900-9263

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 55699 CA Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 53002 CA

Addresses

Primary practice location

1730 Novato Blvd
Suite I
Novato, CA 94947-3048

Mailing address

1730 Novato Blvd
Suite I
Novato, CA 94947-3048
Phone (415) 897-4191

Other names 1

  • Marin Braces Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greg Miller DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1730 Novato Blvd
Ste I
Novato, CA 94947
Phone (415) 897-4191

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1851768360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 NOVATO BLVD",
            "address_2": "SUITE I",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473048",
            "telephone_number": "415-897-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 NOVATO BLVD",
            "address_2": "SUITE I",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473048",
            "telephone_number": "415-897-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG MILLER, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-900-9263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "55699",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "53002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marin Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.