Individual provider Active NPI

Patricia Miguez, DDS, MS, PHD

  • Periodontics
  • Chapel Hill, NC
National Provider Identifier
1144687278
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
0142 Issued in NC
Practice address
Dental Faculty Practice
CB 7450
Chapel Hill, NC 27599-0001
Phone
(919) 537-3939
NPI assigned
Jan 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0142 NC
Periodontics 1223P0300X 0142 NC Primary

Addresses

Primary practice location

Dental Faculty Practice
CB 7450
Chapel Hill, NC 27599-0001

Mailing address

4610 Koury Oral Health Sciences BLDG CLB
University of North Carolina, School of Dentistry
Chapel Hill, NC 27599-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20160217002306 NC Order and Referring Only - DentistPractitioner - Dentist 1658676374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
12583NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1144687278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 KOURY ORAL HEALTH SCIENCES BLDG CLB",
            "address_2": "UNIVERSITY OF NORTH CAROLINA, SCHOOL OF DENTISTRY",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DENTAL FACULTY PRACTICE",
            "address_2": "CB 7450",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "919-537-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGUEZ",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "DDS, MS, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "0142",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "0142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.