Individual provider Active NPI

Ernest Patrick Miller Jr., D.D.S.

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1255525440
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23439 Issued in TX
Practice address
5138 Utsa Blvd Ste 116
San Antonio, TX 78249-3537
Phone
(210) 699-9761
NPI assigned
Aug 30, 2007
Last updated
Jan 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23439 TX Primary

Addresses

Primary practice location

5138 Utsa Blvd Ste 116
San Antonio, TX 78249-3537

Mailing address

5138 Utsa Blvd Ste 116
San Antonio, TX 78249-3537
Phone (210) 699-9761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200130000695 TX Practitioner - Dentist 7618303231 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23439TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Barrio Comprehensive Family Health Care Center, Inc CurrentSince Jan 15, 2020 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Jan 15, 2020 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. Current Accepting new patients

Locations

1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513

3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062

5138 Utsa Blvd
Ste 116
San Antonio, TX 78249
Phone (210) 699-9761

Interoperability endpoints

  • Direct secure messaging: ernest.miller@commsa.eclinicaldirectplus.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1255525440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5138 UTSA BLVD STE 116",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493537",
            "telephone_number": "210-699-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5138 UTSA BLVD STE 116",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493537",
            "telephone_number": "210-699-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ERNEST",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.