Kevin Blaine Miller, DMD MS DOCTOR OF DEN

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4079 Issued in SC

Practice address

1564 Constitution Blvd
Rock Hill, SC 29732-3004

Phone

(803) 327-1144

Fax

(803) 328-2100

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Miller and Dixon Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rock Hill, SC
  • NPI 1013118561
  NPD (past) Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1255411245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1564 CONSTITUTION BLVD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323004",
            "telephone_number": "803-327-1144",
            "fax_number": "803-328-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1564 CONSTITUTION BLVD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323004",
            "telephone_number": "803-327-1144",
            "fax_number": "803-328-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KEVIN",
        "middle_name": "BLAINE",
        "name_prefix": "Dr.",
        "credential": "DMD MS DOCTOR OF DEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "4079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "4079",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Wayne Miller, R.PH.
• Douglas S Miller
• Fred H. Miller, M.D.
• Gemma Miller, RBT
• Kelsey Miller
• Shannon Miller
• Sheridan Singleton Miller, LPCA
• Breanna Mae Mills
• Heyward D Mills
• Jazmyne Mills

• Orthodontics and Dentofacial Orthopedics Dentistry in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.