John Balton Miller, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

4183 Issued in AL

Practice address

103 Medical Dr
Dothan, AL 36303-6903

Phone

(334) 793-7232

Fax

(334) 712-7720

NPI assigned

Jul 12, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Daniel M. Pittman, LLL, DMD, PC

  • Periodontics
  • Dothan, AL
  • NPI 1629460787
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992720973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MEDICAL DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363036903",
            "telephone_number": "334-793-7232",
            "fax_number": "334-712-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MEDICAL DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363036903",
            "telephone_number": "334-793-7232",
            "fax_number": "334-712-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOHN",
        "middle_name": "BALTON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AL",
            "license": "4183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "4183",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miller Orthodontics, LLC
• Albert Miller, MD
• Caitlin Miller, PA
• Chelsi B Miller, CRNP
• Christopher Lamar Miller, M.D.
• John Cleveland Miller Jr., CRNA
• Jordan W Miller, LPC
• Kylie Johnson Miller, M.S., CCC-SLP
• Micah Miller, FNP-C
• Theolyn Whiting Miller, LPC

• Periodontics in Dothan, AL
• Providers in Dothan, AL by specialty
• Periodontics in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.