Individual provider Active NPI

Joshua McIver Millsaps, DDS

  • Dentist
  • Hickory, NC
National Provider Identifier
1235211517
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8011 Issued in NC
Practice address
935 4TH Street Dr NE
Hickory, NC 28601-3950
Phone
(828) 322-2977
Fax
(828) 322-6794
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8011 NC Primary

Addresses

Primary practice location

935 4TH Street Dr NE
Hickory, NC 28601-3950

Mailing address

935 4TH Street Dr NE
Hickory, NC 28601-3950
Phone (828) 322-2977

Other identifiers 2

IdentifierTypeStateIssuer
9022AOtherNCBCBS OF NC
5901438MedicaidNC

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
I20180302000945 NC Practitioner - Dentist 6507127743 Practice locations: Hickory, NC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8011NCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1235211517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 4TH STREET DR NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013950",
            "telephone_number": "828-322-2977",
            "fax_number": "828-322-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 4TH STREET DR NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013950",
            "telephone_number": "828-322-2977",
            "fax_number": "828-322-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLSAPS",
        "first_name": "JOSHUA",
        "middle_name": "MCIVER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "8011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "9022A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901438",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.