Brian Miller, A.S.

Primary specialty

DriverTaxonomy code 172A00000X

License

SH946006 Issued in OH

Practice address

1372 Benbrandon CT
Ontario, OH 44906-3239

Phone

(419) 545-4864

NPI assigned

Jan 20, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Science

State licenses

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1932851003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 BENBRANDON CT",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449063239",
            "telephone_number": "419-545-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 BENBRANDON CT",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449063239",
            "telephone_number": "419-545-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "A.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": "OH",
            "license": "SH946006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "594519",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03082021282725",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Ridesrus33@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1372 Benbrandon Ct",
            "city": "Ontario",
            "state": "OH",
            "country_code": "US",
            "postal_code": "449063239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peggy Diane Metz
• Jacob Metzger, PHARMD
• Dana S Miles, DMSC, PA-C
• Chad Miley, CNP
• Ashley Miller, COTA/L
• Deanna Sue Miller, NP
• Marsha Miller
• Natichia Miller, RBT
• Joyce Marie Mitchell, M.D.
• Molnar & Lee Oral Facial Surgery and Dental Implant Center, LLC

• Driver in Ontario, OH
• Providers in Ontario, OH by specialty
• Driver in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.