DR. MATTHEW JON MILLER (NPI# 1720347859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720347859 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW JON MILLER |
| Credential | DDS |
| Practice Address |
940 Roanoke Ave North Fork Orthodontics Riverhead NY 11901 |
| Practice Telephone | 6317274040 |
| Mailing Telephone | 6317274040 |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2017-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
057738 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04588065 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926410 | Matthew Derrick Miller | Nurse Practitioner | 9354 E Thatcher Cir, Mesa, AZ 85212-8539 | 2020-09-12 |
| 1598386385 | Matthew Ryan Miller | Registered Nurse | 711 Spring St, Santa Barbara, CA 93103-2407 | 2020-05-03 |
| 1366087082 | Matthew D Miller | Physician Assistant | 506 5th Ave Ste 2ff, Brooklyn, NY 11215-4812 | 2019-11-18 |
| 1447728951 | Matthew David Miller | Student in an Organized Health Care Education/Training Program | 5369 E 50 S, Lagro, IN 46941-9434 | 2018-11-02 |
| 1932686961 | Matthew Thomas Miller | Chiropractor | 4791 Calle Real Ste 103, Santa Barbara, CA 93110-1308 | 2018-07-23 |
| 1538682364 | Matthew Miller | Counselor | 3700 Willow Creek Rd Bldg 73, Prescott, AZ 86301-3721 | 2017-07-24 |
| 1326435215 | Matthew W Miller | Otolaryngology | 981225 University of Nebraska Medical Ctr, Omaha, NE 68198-1225 | 2015-04-19 |
| 1801216841 | Matthew Cameron Miller | Specialist/Technologist | 7715 Waterford Lakes Dr, Apt 3036, Charlotte, NC 28210-7414 | 2014-04-17 |
| 1649520933 | Matthew S Miller | Dentist | 51 Mdg/ds, Unit 2060, Apo, AA 96278-2060 | 2012-09-13 |
| 1285980581 | Matthew Stephen Miller | Pharmacist | 3791 Richardson Rd, Scotts Mills, OR 97375-9616 | 2012-07-24 |
| Street Address |
940 ROANOKE AVE NORTH FORK ORTHODONTICS |
| City | RIVERHEAD |
| State | NY |
| Zip Code | 11901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285702571 | North Fork Orthodontics, P.C. | Dentist | 940 Roanoke Ave, Riverhead, NY 11901-2749 | 2006-12-03 |
| 1992353270 | Open Door Mental Health Counseling P.C. | Counselor | 940 Roanoke Ave, Riverhead, NY 11901-2749 | 2019-08-29 |
| 1033308192 | Joshua H Rothenberg | Dentist | 940 Roanoke Ave, Riverhead, NY 11901-2749 | 2007-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102786 | Michael Arthur Frangeskos | Physician Assistant | 1330 Roanoke Avenue, Riverhead, NY 11901 | 2020-01-06 |
| 1922569136 | Mjd Optical Corp | Optometrist | 1053 Route 58 Roanoke Ave, Riverhead, NY 11901 | 2019-03-29 |
| 1356837702 | Justin M Liu | Physician Assistant | 31 Main Rd Ste 3, Riverhead, NY 11901 | 2018-07-09 |
| 1467943522 | North Shore Hematology Oncology Associates PC | Clinic/Center | 750 Old Country Rd Bldg 2, Riverhead, NY 11901 | 2018-05-24 |
| 1063918688 | Riverhead Volunteer Ambulance Corps Inc | Ambulance | 111 Osborn Ave, Riverhead, NY 11901 | 2018-04-03 |
| 1669977906 | Joseph Cataldo | Student in an Organized Health Care Education/Training Program | 64 Ida Lane, Riverhead, NY 11901 | 2018-03-28 |
| 1861903056 | The Flanders Northampton Volunteer Ambulance Company Inc | Ambulance | 641 Flanders Road, Flanders, NY 11901 | 2017-10-16 |
| 1336676659 | Patricia Ann Leask | Registered Nurse | 300 Center Drive Suite 250, Methadone Clinic Department of Mental Health, Riverhead, NY 11901 | 2017-05-17 |
| 1922463447 | Diana Williams-burke | Counselor | 550 East Main St Suite 103, Riverhead, NY 11901 | 2015-12-29 |
| 1699155549 | Twin Forks Optometry, Pllc | Optometrist | 25 Cranberry Street, Riverhead, NY 11901 | 2015-06-05 |
| Find all providers in zip 11901 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992116990 | Facing The Future Orthodontics Pllc | Dentist | 235 Osborn Ave, Riverhead, NY 11901-3077 | 2014-05-13 |
| 1891982815 | Richard Michael Bach | Dentist | 235 Osborne Ave, Riverhead, NY 11901-3021 | 2007-10-03 |
| 1285702571 | North Fork Orthodontics, P.C. | Dentist | 940 Roanoke Ave, Riverhead, NY 11901-2749 | 2006-12-03 |
| 1033308192 | Joshua H Rothenberg | Dentist | 940 Roanoke Ave, Riverhead, NY 11901-2749 | 2007-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616356 | Nathan Light | Dentist | M Dental Care PC, 337 Lenox Ave, New York, NY 10027 | 2020-10-09 |
| 1467069575 | Thomas P. Shannon, Dds, Professional Corporation | Dentist | 44 W 28th St Fl 14, New York, NY 10001-4212 | 2020-09-23 |
| 1508471665 | Daniella Davis | Dentist | 500 Portion Rd Ste 15, Lake Ronkonkoma, NY 11779-4587 | 2020-09-14 |
| 1144835927 | Nikhil Narkhede | Dentist | 401 Columbus Ave Ste 100, Valhalla, NY 10595-1349 | 2020-09-09 |
| 1619580040 | Amanda Beth Albin | Dentist | 62 Lake Ave S Ste A, Nesconset, NY 11767-1094 | 2020-08-25 |
| 1770109589 | Empire State Orthodontics, P.C. | Dentist | 2840 Military Rd, Niagara Falls, NY 14304-1566 | 2020-06-18 |
| 1457986044 | Todd Weinberger | Dentist | 1097 Old Country Rd Ste 203, Plainview, NY 11803-6505 | 2020-03-04 |
| 1851926513 | Miang Chneh C Teo | Dentist | 1100 Pelham Pkwy S, Bronx, NY 10461-1001 | 2020-03-03 |
| 1871127209 | Parisa Zare | Dentist | 40 Waterside Plz Apt 23e, New York, NY 10010-2633 | 2020-02-25 |
| 1427680776 | Sfc Orthodontics P.C. | Dentist | 738 58th St., 1st Floor, Brooklyn, NY 11220 | 2020-02-05 |
| 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.