Robert B Miller IV, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7519 Issued in NC

Practice address

1505 S Glenburnie Rd Ste J
New Bern, NC 28562-2632

Phone

(252) 672-4404

Fax

(252) 672-4402

NPI assigned

Aug 24, 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

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

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.

• Robert B. Miller, IV, DDS, PLLC

  dba Complete Dental Care

  • Dentist
  • New Bern, NC
  • NPI 1952405474
  NPD (past) Authorized official

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1417064379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 S GLENBURNIE RD STE J",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622632",
            "telephone_number": "252-672-4404",
            "fax_number": "252-672-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 S GLENBURNIE RD STE J",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622632",
            "telephone_number": "252-672-4404",
            "fax_number": "252-672-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ROBERT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "7519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902N1",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Miller, M.S.
• Ladonna Eugenia Miller
• McKenzie Mae Miller, AU.D.
• Megan Nan Miller, FNP-C
• Paige Warren Miller, D.D.S.
• Seth Miller, MD
• Desirae Mills
• Megan Elizabeth Milne, MD
• Katlyn Leigh Joyner Minshew, OTR
• Margaret Ann Minsk, LPC, M.A., C.HT.

• Dentist in New Bern, NC
• Providers in New Bern, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.

Verify at the official NPI Registry.