Dale Edward Miller Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6486 Issued in WA

Practice address

307 South 11TH Ave
Yakima, WA 98902-3256

Phone

(509) 248-5807

Fax

(509) 248-5943

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

No

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 WA

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.

• Dale E Miller DDS PS

  • Dentist
  • Yakima, WA
  • NPI 1245310176
  NPD (past) Authorized official
• Shawn R McDevitt DDS PS

  • General Practice Dentistry
  • Yakima, WA
  • NPI 1023113990
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992885826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 SOUTH 11TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023256",
            "telephone_number": "509-248-5807",
            "fax_number": "509-248-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 SOUTH 11TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023256",
            "telephone_number": "509-248-5807",
            "fax_number": "509-248-5943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DALE",
        "middle_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "6486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5180807",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl Mikota, PHARMD
• Emilie Milburn
• Milk Matters Lactation Support LLC
• Brett Miller, DDS
• Carlin Miller, D.O.
• Debbie Ja Miller, LMFT
• Erik C. Miller, M.D.
• Erika J Miller, PHARMD
• Frances Miller, RN
• Janice Carol Miller, OTRL

• Dentist in Yakima, WA
• Providers in Yakima, WA by specialty
• Dentist in Washington

• 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.