Rise Modern Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RISE MODERN DENTISTRY

Practice address

215 Griffith Street
Davidson, NC 28036

Phone

(402) 802-0264

NPI assigned

Jun 30, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Cody Miller, DMDNPI 1053936914

Title

Owner Doctor

Phone

(402) 802-0264

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Cody Stephen Miller, DMD

  • General Practice Dentistry
  • Indian Land, SC
  • NPI 1053936914
  NPD Authorized official

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1215826722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8153 MERRYVALE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282142658",
            "telephone_number": "402-802-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 GRIFFITH STREET",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "28036",
            "telephone_number": "402-802-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE MODERN DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "402-802-0264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Ricciani, RN, BSN
• Michelle Carelock Rice, LCMHC
• Kristien M Richardson
• Anna Chatham Ripple, LPC, LCASA
• Rise Kids Therapy and Wellness, LLC
• John Martin Roberts, MD
• Patrick Allen Robinson, M.D.
• Julia Anthony Rose, MA, LPCA, MBCC
• Brooke Novia Ross
• Rebecca Nancy Ruhlen, PHD, IBCLC

• General Practice Dentistry in Davidson, NC
• Providers in Davidson, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.