Active NPI
Benita A Miller, DDS
- Periodontics
- Richmond, VA
National Provider Identifier
1104967868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 0401006713
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180416000208 | VA | Order and Referring Only - Dentist | 2961725387 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New 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.
-
- Periodontics
- Richmond, VA
- NPI 1497925770
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.