Individual provider Active NPI

Benita A Miller, DDS

  • Periodontics
  • Richmond, VA
National Provider Identifier
1104967868
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
0401006713 Issued in VA
Practice address
5700 Old Richmond Ave
Ste. C-14
Richmond, VA 23226-1828
Phone
(804) 285-4867
Fax
(804) 282-2453
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 0401006713 VA Primary

Addresses

Primary practice location

5700 Old Richmond Ave
Ste. C-14
Richmond, VA 23226-1828

Mailing address

5700 Old Richmond Ave
Ste. C-14
Richmond, VA 23226-1828
Phone (804) 285-4867

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
I20180416000208 VA Order and Referring Only - DentistPractitioner - Dentist 2961725387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Kaugars and Miller, PC Periodontics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104967868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 OLD RICHMOND AVE",
            "address_2": "STE. C-14",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261828",
            "telephone_number": "804-285-4867",
            "fax_number": "804-282-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 OLD RICHMOND AVE",
            "address_2": "STE. C-14",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261828",
            "telephone_number": "804-285-4867",
            "fax_number": "804-282-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BENITA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401006713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.