Kenneth Chester Miles, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

HAD100 Issued in FL

Practice address

1140 Pratt Blvd
Labelle, FL 33935-4405

Phone

(863) 674-4041

NPI assigned

Jan 16, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenneth.miles.1@12125.direct.athenahealth.com

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

• Central Florida Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Frostproof, FL
  • NPI 1467449660

  General Practice

  Medicare reassignment NPD
• Central Florida Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Bartow, FL
  • NPI 1811796469
  NPD
• Central Florida Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mulberry, FL
  • NPI 1154746899

  General Practice

  NPD

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1063563724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 MONACO DR",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339507807",
            "telephone_number": "586-484-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 PRATT BLVD",
            "city": "LABELLE",
            "state": "FL",
            "postal_code": "339354405",
            "telephone_number": "863-674-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "KENNETH",
        "middle_name": "CHESTER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "HAD100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104312600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan McInnes
• Adam L McQuaig
• Medspa & Primary Care LLC
• Mirna Maria Mendez Gonzalez - Pardo
• Elizabeth Joan Midney-Martinez, M.D.
• Yusleidis Milian de la Pena
• Nathalie Sophia Molina
• Dayami Mompellet
• Morris Medical Center, P.a.
• Dareld Ray Morris II, D.O.

• General Practice Dentistry in Labelle, FL
• Providers in Labelle, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.