Active NPI
Ernest Patrick Miller Jr., D.D.S.
- General Practice Dentistry
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 23439
- 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, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23439 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barrio Comprehensive Family Health Care Center, Inc | Current | Accepting new patients | |
| Barrio Comprehensive Family Health Care Center, Inc. | Current | 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
- 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.
-
dba CommuniCare Health Centers
- Federally Qualified Health Center (FQHC)
- San Antonio, TX
- NPI 1902883739
-
- Dental Clinic/Center
- San Antonio, TX
- NPI 1053827881
-
- General Practice Dentistry
- San Antonio, TX
- NPI 1811246770
-
dba Communicare Health Centers
- Federally Qualified Health Center (FQHC)
- San Antonio, TX
- NPI 1003228750
-
- Federally Qualified Health Center (FQHC)
- San Marcos, TX
- NPI 1295601052
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.