Individual provider Active NPI

Eric Noel Miller, DDS

  • Dentist
  • Saluda, VA
National Provider Identifier
1093908196
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401008899 Issued in VA
Practice address
1123 General Puller Hwy
Saluda, VA 23149-3134
Phone
(804) 758-1103
Fax
(804) 758-1303
NPI assigned
Aug 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401008899 VA Primary

Addresses

Primary practice location

1123 General Puller Hwy
Saluda, VA 23149-3134

Mailing address

1123 General Puller Hwy
Saluda, VA 23149-3134
Phone (804) 758-1103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20160412001837 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9436457264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1093908196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 GENERAL PULLER HWY",
            "city": "SALUDA",
            "state": "VA",
            "postal_code": "231493134",
            "telephone_number": "804-758-1103",
            "fax_number": "804-758-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 GENERAL PULLER HWY",
            "city": "SALUDA",
            "state": "VA",
            "postal_code": "231493134",
            "telephone_number": "804-758-1103",
            "fax_number": "804-758-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ERIC",
        "middle_name": "NOEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401008899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saluda, VA

Sources for this page

Verify at the official NPI Registry.