Individual provider Active NPI

Miles Christian Ware, D.M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Summerville, SC
National Provider Identifier
1235666843
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
10306 Issued in SC
Practice address
2121 N Main St Unit 101
Summerville, SC 29486-8545
Phone
(843) 853-5859
Fax
(843) 853-5961
NPI assigned
May 12, 2017
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 10255 SC
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 10306 SC Primary

Addresses

Primary practice location

2121 N Main St Unit 101
Summerville, SC 29486-8545

Mailing address

400 Tidal Reef Cir
Mount Pleasant, SC 29464-7771
Phone (864) 650-6266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 21, 2022 through Jul 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10306SCMDSocial Worker
10255SCMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1235666843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TIDAL REEF CIR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647771",
            "telephone_number": "864-650-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 N MAIN ST UNIT 101",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294868545",
            "telephone_number": "843-853-5859",
            "fax_number": "843-853-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "MILES",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-12",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "10255",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "SC",
            "license": "10306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.