NPIMap

Organization Active NPI

Nicole R. Miller, DDS PA

Doing business as Winston Salem Dental Specialists

  • Periodontics
  • Winston Salem, NC
National Provider Identifier
1255188322
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
NICOLE R. MILLER, DDS PA
Doing business as
Winston Salem Dental Specialists
Practice address
3809 Forrestgate Dr Ste a
Winston Salem, NC 27103-2982
Phone
(336) 768-9010
Fax
(336) 768-9011
NPI assigned
May 6, 2024
Last updated
May 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Nicole Wright, DDSNPI 1780834457
Title
Owner
Phone
(970) 888-4465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU
Periodontics 1223P0300X NU Primary
Prosthodontics 1223P0700X NU

Addresses

Primary practice location

3809 Forrestgate Dr Ste a
Winston Salem, NC 27103-2982

Mailing address

3809 Forrestgate Dr Ste a
Winston Salem, NC 27103-2982
Phone (336) 768-9010

Other practice location 1

1590 Westbrook Plaza Dr Ste 202
Winston Salem, NC 27103-2939
Phone (336) 774-3001

Other names 1

  • Winston Salem Dental Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

1590 Westbrook Plaza Dr
Ste 202
Winston Salem, NC 27103
Phone (336) 774-3001

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1255188322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 FORRESTGATE DR STE A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032982",
            "telephone_number": "336-768-9010",
            "fax_number": "336-768-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 FORRESTGATE DR STE A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032982",
            "telephone_number": "336-768-9010",
            "fax_number": "336-768-9011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1590 Westbrook Plaza Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271032939",
            "country_code": "US",
            "telephone_number": "336-774-3001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NICOLE R. MILLER, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-888-4465",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winston Salem Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.