MARK A. MILLER (NPI# 1518966423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518966423 |
| Entity Type | Individual |
| Full Name | MARK A. MILLER |
| Credential | DMD |
| Practice Address |
133 E Main Carlton OR 97111 |
| Mailing Address |
Po Box 220 Carlton OR 97111-0220 |
| Practice Telephone | 5038527147 |
| Practice Fax Number | 5038527149 |
| Mailing Telephone | 5038527147 |
| Mailing Fax Number | 5038527419 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2007-07-08 |
| NPI Deactivation Date | 03/20/2006 |
| NPI Reactivation Date | 2006-04-06 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5513 | OR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 075390 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932731692 | Mark A Miller | Pharmacist | 5431 Sw 35th Dr Ste 200, Gainesville, FL 32608-5277 | 2020-02-10 |
| 1386111250 | Mark Miller | Counselor | 3605 Calumet St, Philadelphia, PA 19129-1603 | 2018-10-30 |
| 1386124873 | Mark E Miller | Dentist | 558 E Bay Ave, Manahawkin, NJ 08050-3340 | 2018-08-15 |
| 1326536335 | Mark Jay Miller | Technician/Technologist | 3617 Sipler Ln, Huntingdon Valley, PA 19006-3223 | 2018-04-25 |
| 1801264148 | Mark J Miller | Counselor | 4141 Highway 11, Rising Fawn, GA 30738-4633 | 2015-09-03 |
| 1427317197 | Mark Anthony Miller | Physical Therapist | 537 West Main St, Brewster, WA 98812-1200 | 2012-05-15 |
| 1790044428 | Mark Ian Miller | Student in an Organized Health Care Education/Training Program | 843 S Sierra Bonita Ave, Los Angeles, CA 90036-4703 | 2012-05-15 |
| 1023384989 | Mark H Miller | Internal Medicine | 6318 17th Ave Ne, Seattle, WA 98115-6809 | 2012-03-26 |
| 1649578816 | Mark A Miller | Pharmacist | 8 Elk Plz, Elkview, WV 25071-9602 | 2011-03-11 |
| 1538399753 | Mark E Miller | Social Worker | 645 S 5th St, Montrose, CO 81401-5710 | 2009-07-22 |
| Street Address |
133 E MAIN |
| City | CARLTON |
| State | OR |
| Zip Code | 97111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922480656 | Tia J Baxter | Massage Therapist | 500 N Gilwood St, Carlton, OR 97111 | 2015-06-18 |
| 1295031870 | Carlton Dental | Dentist | 133 E. Main St., Carlton, OR 97111 | 2011-01-31 |
| 1134573843 | Jacqueline Gambee | Dentist | 133 E Main St, Carlton, OR 97111 | 2016-04-19 |
| 1275912560 | Carlton Dental, LLC | Dentist | 133 E Main St, Carlton, OR 97111 | 2015-05-20 |
| 1568587194 | Jeremiah W Cook | Massage Therapist | 310 S 3rd St, Carlton, OR 97111-0610 | 2007-03-20 |
| 1801155320 | Nichole Alexandria Pilakowski | Veterinarian | 230 S Pine St, Carlton, OR 97111-1169 | 2012-05-04 |
| 1811192792 | Med Info Services, LLC | Internal Medicine | 348 S Pine St, Carlton, OR 97111-1228 | 2007-06-19 |
| 1346507746 | Verdura Family Wellness, Inc | Clinic/Center | 348 S Pine St, Carlton, OR 97111-1228 | 2012-04-23 |
| 1043577869 | Verdura Family Wellness, Inc | Family Medicine | 348 S Pine St, Carlton, OR 97111-1228 | 2012-04-18 |
| 1033666730 | Jennifer Kelley | Counselor | 712 N 8th St, Carlton, OR 97111-1233 | 2016-09-09 |
| Find all providers in zip 97111 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295031870 | Carlton Dental | Dentist | 133 E. Main St., Carlton, OR 97111 | 2011-01-31 |
| 1093989543 | Robert Thomas Johnson | Dentist | 210 Third Street, Carlton, MN 55718 | 2008-04-16 |
| 1275912560 | Carlton Dental, LLC | Dentist | 133 E Main St, Carlton, OR 97111 | 2015-05-20 |
| 1982765319 | Richard D Devorak | Dentist | 210 3rd St, Carlton, MN 55718-7703 | 2006-12-12 |
| 1427123751 | Jeffrey John Bertani | Dentist | 210 3rd St, Carlton, MN 55718-7703 | 2006-11-21 |
| 1023190642 | James A Adamczak | Dentist | 210 3rd St, Carlton, MN 55718-7703 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486438 | Jane Jeeyoon Kim | Dentist | 14425 Sw Allen Blvd # 1, Beaverton, OR 97005-4402 | 2020-10-30 |
| 1780283556 | Ziyad Amir Kadir | Dentist | 300 Tatone St, Boardman, OR 97818-7900 | 2020-10-22 |
| 1295333912 | John Andrew Fawcett | Dentist | 214 Jersey St, Silverton, OR 97381-1627 | 2020-10-14 |
| 1629685920 | Alexandroff Dmd PC | Dentist | 1085 E Harbor Drive, Warrenton, OR 97146 | 2020-09-30 |
| 1760097034 | Hannah Glazunov | Dentist | 4970 S Landing Dr Unit 302, Portland, OR 97239-5900 | 2020-09-13 |
| 1235742198 | Geoffrey Houf | Dentist | 5880 Ne Cornell Rd Ste D, Hillsboro, OR 97124-9075 | 2020-08-28 |
| 1124631650 | Sugandha Gupta | Dentist | 2561 Nw 167th Ave, Beaverton, OR 97006-7643 | 2020-08-25 |
| 1609489137 | Open Door Dental Group PC | Dentist | 1710 E Pine St Ste A, Central Point, OR 97502-2811 | 2020-08-25 |
| 1720698566 | Travis Alcorn | Dentist | 2750 Kingwood St, Florence, OR 97439-9556 | 2020-08-06 |
| 1811506322 | Ruiwei Liang | Dentist | 547 Se 73rd Ave, Hillsboro, OR 97123-6199 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.