Active NPI
Eric Noel Miller, DDS
- Dentist
- Saluda, VA
National Provider Identifier
1093908196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401008899
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160412001837 | VA | Order and Referring Only - 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.