Active NPI
WM. Robert Miller, D.M.D., PA
- General Practice Dentistry
- Greenwood, SC
National Provider Identifier
1063689016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3452
- Legal business name
- WM. ROBERT MILLER, D.M.D., PA
- Practice address
- 101 W Durst Ave
Greenwood, SC 29649-2020 - Phone
- (864) 229-6639
- Fax
- (864) 941-3318
- NPI assigned
- May 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Anne Michelle Miller
- Title
- Manager
- Phone
- (864) 229-6639
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3452 | SC | Primary |
Addresses
Primary practice location
101 W Durst Ave
Greenwood, SC 29649-2020
Mailing address
101 W Durst Ave
Greenwood, SC 29649-2020
Phone (864) 229-6639
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210291200000",
"number": "1063689016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W DURST AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296492020",
"telephone_number": "864-229-6639",
"fax_number": "864-941-3318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W DURST AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296492020",
"telephone_number": "864-229-6639",
"fax_number": "864-941-3318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WM. ROBERT MILLER, D.M.D., PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-09",
"last_updated": "2008-05-09",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "ANNE MICHELLE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "864-229-6639",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "3452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.