NPIMap

Organization Active NPI

Clinton S. Miller P.C.

Doing business as Miller Dental

  • Dental Clinic/Center
  • Jamestown, ND
National Provider Identifier
1891177200
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CLINTON S. MILLER P.C.
Doing business as
Miller Dental
Practice address
302 2ND Ave SW
Jamestown, ND 58401-4157
Phone
(701) 252-1661
Fax
(701) 252-1228
NPI assigned
Jun 22, 2015
Last updated
Apr 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Dr. Clinton S Miller, DMDNPI 1821224577
Title
President
Phone
(701) 252-1661

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
Dental Clinic/Center 261QD0000X Primary
Dentist 122300000X 2227 ND

Addresses

Primary practice location

302 2ND Ave SW
Jamestown, ND 58401-4157

Mailing address

302 2ND Ave SW
Jamestown, ND 58401-4157
Phone (701) 252-1661

Other names 1

  • Miller Dental Doing business as

National Provider Directory

National Provider Directory

Locations

317 Brewster St E
Harvey, ND 58341
Phone (701) 324-5131

302 2nd Ave SW
Jamestown, ND 58401
Phone (701) 252-1661

Practitioners & affiliated clinicians

Practitioners 3

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": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1891177200",
    "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",
            "fax_number": "701-252-1228"
        },
        {
            "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",
            "fax_number": "701-252-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON S. MILLER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-252-1661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ND",
            "license": "2227",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamestown, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.