Berkeley Springs Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

3527 Issued in WV

Legal business name

BERKELEY SPRINGS DENTISTRY

Practice address

1911 Valley Rd
Berkeley Springs, WV 25411-4815

Phone

(304) 258-7800

Fax

(304) 258-1260

NPI assigned

Mar 24, 2017

Last updated

Mar 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Magic M Miller, DDSNPI 1962589655

Title

Owner/Dentist

Phone

(304) 258-7800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Magic Marquetia Miller, D.D.S.

  • General Practice Dentistry
  • Berkeley Springs, WV
  • NPI 1962589655
  NPD (past) Authorized official

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1295266948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 VALLEY RD",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254114815",
            "telephone_number": "304-258-7800",
            "fax_number": "304-258-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 VALLEY RD",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254114815",
            "telephone_number": "304-258-7800",
            "fax_number": "304-258-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY SPRINGS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MAGIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "304-258-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "3527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4003051000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Bennett
• Andrew Joseph Berens, MD
• Berkeley -Morgan County Board of Health (Morgan County Health Department)
• Berkeley Springs Center LLC (Stonerise Berkeley Springs)
• Berkeley Springs Center LLC (Berkeley Springs Outpatient Therapy Center)
• Berkeley Springs SNF LLC (Berkeley Rehabilitation & Healthcare Center)
• Berkeley Springs Surgical Corp., P.C.
• Jai E Birch
• Lorraine Bird
• Kyle Jordan Blair, DPT

• Dentist in Berkeley Springs, WV
• Providers in Berkeley Springs, WV by specialty
• Dentist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.