Organization Active NPI

Miller and Dixon Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rock Hill, SC
National Provider Identifier
1013118561
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
4079 Issued in SC
Legal business name
MILLER AND DIXON ORTHODONTICS LLC
Practice address
1564 Constitution Blvd
Rock Hill, SC 29732-3004
Phone
(803) 327-1144
Fax
(803) 328-2100
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kevin Blaine Miller, DMD,MSNPI 1255411245
Title
Doctor
Phone
(803) 327-1144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 4079 SC Primary

Addresses

Primary practice location

1564 Constitution Blvd
Rock Hill, SC 29732-3004

Mailing address

1564 Constitution Blvd
Rock Hill, SC 29732-3004
Phone (803) 327-1144

National Provider Directory

National Provider Directory

Locations

1564 Constitution Blvd
Rock Hill, SC 29732
Phone (803) 327-1144

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1013118561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1564 CONSTITUTION BLVD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323004",
            "telephone_number": "803-327-1144",
            "fax_number": "803-328-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1564 CONSTITUTION BLVD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323004",
            "telephone_number": "803-327-1144",
            "fax_number": "803-328-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER AND DIXON ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "BLAINE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "803-327-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD,MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "4079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.