DR. ADAM CHRISTOPHER MILLER (NPI# 1306837794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306837794 |
Entity Type | Individual |
Full Name | DR. ADAM CHRISTOPHER MILLER |
Credential | D.D.S. M.D. |
Practice Address |
10602 N Port Washington Rd Ste. 101 Mequon WI 53092-5079 |
Practice Telephone | 8158668757 |
Mailing Telephone | 8158668757 |
Enumeration Date | 2005-11-03 |
Last Update Date | 2014-11-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DA031608 | PA | Dental Providers |
N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS036482 | PA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871092684 | Adam Seth Miller | Physical Therapist | 14950 S Springdale Ave, Middlefield, OH 44062-9644 | 2018-02-07 |
1922175090 | Adam Miller | Counselor | 5164 Bodega Ave, Petaluma, CA 94952-7605 | 2006-11-30 |
1205891009 | Adam H Miller | Emergency Medicine | 2801 N I35 Ste 130, Carrollton, TX 75007-6453 | 2006-04-18 |
1518947035 | Adam David Miller | Optometrist | 17450 St Lukes Way Ste 100, The Woodlands, TX 77384-8045 | 2006-01-19 |
1316554876 | Adam Miller | Student in an Organized Health Care Education/Training Program | 1613 N Mckenzie St, Foley, AL 36535-2247 | 2020-09-29 |
1770199556 | Adam Miller | Psychologist | 205 S Hoover Blvd Ste 202, Tampa, FL 33609-3574 | 2020-09-17 |
1598381113 | Adam Miller | Dentist | 2500 W Lake Mary Blvd Ste 106, Lake Mary, FL 32746-3501 | 2020-06-19 |
1508481540 | Adam Alvarez Miller | Student in an Organized Health Care Education/Training Program | 413 S Loop Rd, Edgewood, KY 41017-5446 | 2020-06-16 |
1487281754 | Adam Michael Miller | Student in an Organized Health Care Education/Training Program | 13329 J D Broussard Rd, Gonzales, LA 70737-6326 | 2020-03-25 |
1295360402 | Adam Miller | Student in an Organized Health Care Education/Training Program | 1853 W Polk St, Chicago, IL 60612-4355 | 2020-03-08 |
Street Address |
10602 N PORT WASHINGTON RD STE. 101 |
City | MEQUON |
State | WI |
Zip Code | 53092-5079 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568866150 | Iam Integrative & Aesthetic Medicine, Ltd. | Clinic/Center | 10602 N Port Washington Rd, Ste. 101, Mequon, WI 53092-5079 | 2014-10-10 |
1619248598 | Anne Sherman | Nurse Practitioner | 10602 N Port Washington Rd, Suite 101, Mequon, WI 53092-5079 | 2012-01-24 |
1710120878 | Janet C. Halonen | Acupuncturist | 10602 N Port Washington Rd, Suite 101, Mequon, WI 53092-5079 | 2009-04-19 |
1629252606 | Rodica Nmi Iancu-loebel | Dentist | 10602 N Port Washington Rd, Suite 102, Mequon, WI 53092-5079 | 2007-12-26 |
1538248711 | Megan Elizabeth Mckean | Speech-Language Pathologist | 10602 N Port Washington Rd, Mequon, WI 53092-5079 | 2006-11-06 |
1871670836 | Christine Kay Cayo | Occupational Therapist | 10602 N Port Washington Rd, Mequon, WI 53092-5079 | 2006-11-01 |
1750463915 | Christine Tracy Anderson | Speech-Language Pathologist | 10602 N Port Washington Rd, 101, Mequon, WI 53092-5079 | 2006-10-19 |
1740379189 | Cynthia Michalak | Speech-Language Pathologist | 10602 N Port Washington Rd, Suite 101, Mequon, WI 53092-5079 | 2006-10-12 |
1225126238 | Patricia Ann Jaworski | Occupational Therapist | 10602 N Port Washington Rd, Suite 101, Mequon, WI 53092-5079 | 2006-10-11 |
1649366766 | Barbara Kay Hypes | Physical Therapist | 10602 N Port Washington Rd, Mequon, WI 53092-5079 | 2006-10-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942790761 | Kathryn Mueller | Specialist/Technologist | 117 Linden Lane, Apt 7, Thiensville, WI 53092 | 2018-05-17 |
1427547082 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 10996 N Port Washington Rd, Mequon, WI 53092 | 2018-05-08 |
1912437252 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 11430 Port Washington Road, Mequon, WI 53092 | 2017-06-19 |
1629437256 | Sean S Tsang | Acupuncturist | 909 W. Mequon Rd., Mequon, WI 53092 | 2016-02-10 |
1497128433 | Nancy Snoots | Counselor | 4430 W Tarrytown Ln, Mequon, WI 53092 | 2015-11-12 |
1609265214 | Evan Guettel | Physical Therapist | 11363 N. Port Washington Road, Mequon, WI 53092 | 2015-01-20 |
1881091148 | Sarah Krueger | Counselor | 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 | 2014-12-01 |
1245667088 | Lora Transportation, LLC | Non-emergency Medical Transport (VAN) | 1228 West Baldwin Crt., Mequon, WI 53092 | 2013-10-10 |
1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
1225473713 | Forefront Dermatology, S.c. | Dermatology | 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 | 2013-05-09 |
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Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336233790 | Mark J Kortebein | Dentist | 10535 N Port Washington Rd, Suite 102, Mequon, WI 53092-5583 | 2006-10-02 |
1306908371 | Brent J Martin Dds Ms Sc | Dentist | 1345 W Towne Square Rd, Mequon, WI 53092-5047 | 2006-12-15 |
1548356280 | Peter Louis Wagner | Dentist | 10535 N Port Washington Rd, Suite 102, Mequon, WI 53092-5583 | 2006-10-04 |
1477647832 | Oral Surgery Associates of Milwaukee Sc | Dentist | 10535 N Port Washington Rd, Suite 102, Mequon, WI 53092-5583 | 2006-10-02 |
1760576128 | Alan A Kimmel | Dentist | 10535 N Port Washington Rd, Suite 102, Mequon, WI 53092-5583 | 2006-10-02 |
1962596395 | Sheppard B Mollick | Dentist | 10535 N Port Washington Rd, Suite 102, Mequon, WI 53092-5583 | 2006-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720569783 | Greater Milwaukee Oral Surgery, L.L.C. | Dentist | 4811 S 76th St Ste 304, Greenfield, WI 53220-4350 | 2018-08-27 |
1124516893 | Baycare Clinic, LLP | Dentist | 636 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2018-04-27 |
1477065787 | Central Wisconsin Oral and Facial Surgery, LLC | Dentist | 438 Edison St, Antigo, WI 54409-1845 | 2017-10-26 |
1497266910 | Donald Ervin Linneman | Dentist | Center 4820 N Sherman Road, Winnebago Correction Center, Drug Abuse Correctional, Winnebago, WI 54985-0036 | 2017-10-24 |
1063869485 | Tyler Kalmuck | Dentist | 3637 Wilgus Ave, Sheboygan, WI 53081-3050 | 2016-05-16 |
1952717753 | Judson Charles Smith | Dentist | 2323 N Mayfair Rd Ste 102, Milwaukee, WI 53226 | 2014-07-01 |
1073930459 | Paul Pamula | Dentist | 1925 S Green Bay Rd, Mount Pleasant, WI 53406-4654 | 2014-03-24 |
1326473927 | Lake Geneva Dental Care, LLC | Dentist | 1454 E Huebbe Pkwy, Beloit, WI 53511-1714 | 2013-09-13 |
1093154601 | Matthew D Reiland | Dentist | 2921 Landmark Pl Ste 100, Madison, WI 53713-4248 | 2013-06-17 |
1922364363 | Ell Louis Lee | Dentist | 2361 Lost Dauphin Rd, De Pere, WI 54115-9165 | 2012-04-10 |
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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.