Active NPI
Scott Kyle Miller, DDS
- General Practice Dentistry
- Troutville, VA
National Provider Identifier
1003028903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8631
- Practice address
- 5511 Lee Highway
Troutville, VA 24175-0187 - Phone
- (540) 992-1404
- Fax
- (540) 992-3598
- NPI assigned
- May 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8631 | VA | Primary |
Addresses
Primary practice location
5511 Lee Highway
Troutville, VA 24175-0187
Mailing address
P.O. Box 187
Troutville, VA 24175-0187
Phone (540) 992-1404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8631 | VA | MD | General Practice Dentistry |
Interoperability endpoints
- scott.miller.1@18289.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003028903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 187",
"city": "TROUTVILLE",
"state": "VA",
"postal_code": "241750187",
"telephone_number": "540-992-1404",
"fax_number": "540-992-3598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5511 LEE HIGHWAY",
"city": "TROUTVILLE",
"state": "VA",
"postal_code": "241750187",
"telephone_number": "540-992-1404",
"fax_number": "540-992-3598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SCOTT",
"middle_name": "KYLE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "8631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troutville, VA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.