JD Miller DDS PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D9312 Issued in OR

Legal business name

JD MILLER DDS PC

Practice address

2250 NW Flanders St Ste 112
Portland, OR 97210-5409

Phone

(503) 944-9374

NPI assigned

Nov 14, 2017

Last updated

Nov 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John David Miller, DDS

Title

Owner

Phone

(503) 944-9374

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1891208724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 NW FLANDERS ST STE 112",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105409",
            "telephone_number": "503-944-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 NW FLANDERS ST STE 112",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105409",
            "telephone_number": "503-944-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JD MILLER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-944-9374",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "D9312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Jaynes, LCSW
• Sarah Jaynes, LAC., MAOM
• Grace E Jazrawi, DO
• Saad Fahmi Jazrawi, MD
• Michelle B Jazuk-Hayward
• Firmine Jean Baptiste, MD
• Laura Jean
• Jeanette Cummings, DC, PC
• Pamela Sky Jeanne, ND
• Thomas Lucien Jeanne, MD, MPH

• Orthodontics and Dentofacial Orthopedics Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.