Cody Stephen Miller, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9642 Issued in SC

Practice address

7748 Charlotte Hwy
Indian Land, SC 29707-9654

Phone

(803) 674-8043

NPI assigned

Jun 16, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rise Modern Dentistry

  • General Practice Dentistry
  • Davidson, NC
  • NPI 1215826722
  NPD Authorized official

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1053936914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7748 CHARLOTTE HWY",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297079654",
            "telephone_number": "803-674-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7748 CHARLOTTE HWY",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297079654",
            "telephone_number": "803-674-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CODY",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mecklenburg Medical Group
• Medicine Wheel Healing Art, LLC
• Metrolina Eye Associates, PLLC
• Mercedes Marie Meyer, DNP FNP
• Ro-Derick Donte' Middleton, PHARMD
• Paul Lloyd Moore, LCSWA
• William Arthur Morris, MD
• My Peace Keeper Inc
• Myeyedr Optometry of South Carolina, LLC
• Myeyedr Optometry of South Carolina, LLC (MyEyeDr.)

• General Practice Dentistry in Indian Land, SC
• Providers in Indian Land, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.