Myles Thomas Elliott, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

PENDING Issued in SC

Practice address

1320 Elmtree Rd
Columbia, SC 29209-2614

Phone

(803) 783-9900

NPI assigned

May 16, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• DRS Roncaglione and Reimels Columbia LLC

  • General Practice Dentistry
  • Columbia, SC
  • NPI 1609524644
  NPD (past)
• Paton & Wehman, LLC

  • General Practice Dentistry
  • Columbia, SC
  • NPI 1518142876
  NPD (past)

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1154811065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 ELMTREE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292092614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 ELMTREE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292092614",
            "telephone_number": "803-783-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "MYLES",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed Elkadim
• Anthony Bertram Elkins, MD
• Stephanie Elkins
• Alice Ann Elliott
• Lydia Elliott, APRN-CNM
• Samantha Elliott
• Samuel Elliott
• Samuel Curtis Elliott III, M.D.
• Ellis Physical Therapy Associates, Inc.
• Ellis Physical Therapy Associates, Inc.

• Dentist in Columbia, SC
• Providers in Columbia, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.