NPIMap

Organization Active NPI

Miller Endodontics, PA

  • Endodontics
  • Spartanburg, SC
National Provider Identifier
1205195047
Registry record updated Jul 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
784 Issued in SC
Legal business name
MILLER ENDODONTICS, PA
Practice address
263 California Ave
Spartanburg, SC 29303-2271
Phone
(864) 699-9931
Fax
(864) 699-9932
NPI assigned
May 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2012

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

Authorized official

Name
Dr. Lawrence G Miller Jr., D.M.D.NPI 1053457960
Title
President
Phone
(864) 699-9931

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 784 SC Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

263 California Ave
Spartanburg, SC 29303-2271

Mailing address

263 California Ave
Spartanburg, SC 29303-2271
Phone (864) 699-9931

National Provider Directory

National Provider Directory

Locations

263 California Ave
Spartanburg, SC 29303
Phone (864) 699-9931

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343433600000",
    "number": "1205195047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 CALIFORNIA AVE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032271",
            "telephone_number": "864-699-9931",
            "fax_number": "864-699-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 CALIFORNIA AVE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032271",
            "telephone_number": "864-699-9931",
            "fax_number": "864-699-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER ENDODONTICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-07-28",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-699-9931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "784",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2012; 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.