{"npi":"1699822403","type":"NPI-1","status":"active","name":{"display":"Andrew Miller DDS, MD","other":[],"first":"ANDREW","last":"MILLER","middle":"J","credential":"DDS,MD"},"specialty":{"primary_taxonomy":"204E00000X","primary_taxonomy_description":"Oral & Maxillofacial Surgery (D.M.D.)","slug":"oral-maxillofacial-surgery-d-m-d","schema_org_specialty":null,"all":[{"code":"204E00000X","description":"Oral & Maxillofacial Surgery (D.M.D.)","primary":true,"state":"WI","license":"70622-20"}]},"addresses":[{"purpose":"LOCATION","street_1":"1000 N OAK AVE","city":"MARSHFIELD","state":"WI","postal_code":"54449","country_code":"US","phone":"7153875511"},{"purpose":"MAILING","street_1":"1000 N OAK AVE","city":"MARSHFIELD","state":"WI","postal_code":"544495703","country_code":"US","phone":"7153875511","fax":"6082501384"}],"license":{"state":"WI","number":"70622-20"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1699822403","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20190423001176","type_code":"14-85","type_desc":"PRACTITIONER - MAXILLOFACIAL SURGERY","state":"WI","pac_id":"4587807631"},{"enrlmt_id":"I20230919002375","type_code":"14-19","type_desc":"PRACTITIONER - ORAL SURGERY","state":"TN","pac_id":"4587807631"}]},"enumeration_date":"2007-01-04","last_updated":"2024-04-25","_meta":{"source":"NPPES","snapshot_date":"2024-04-25","doc_url":"https://findmynpi.com/api"}}