Chad Jeffrey Miller, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6594 Issued in NC

Practice address

3203 Archdale Rd
Archdale, NC 27263-2709

Phone

(336) 431-9571

Fax

(336) 431-5691

NPI assigned

May 21, 2007

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chad J. Miller DDS PA

  • General Practice Dentistry
  • Archdale, NC
  • NPI 1700276318
  NPD (past) Authorized official
• John D. Ellington DDS PA

  • General Practice Dentistry
  • Archdale, NC
  • NPI 1699932921
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1417166901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 ARCHDALE RD",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272632709",
            "telephone_number": "336-431-9571",
            "fax_number": "336-431-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 ARCHDALE RD",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272632709",
            "telephone_number": "336-431-9571",
            "fax_number": "336-431-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CHAD",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990077",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Donathan McManus, PHARMD
• Medberry LLC
• Mediq Urgent Care PC (MEDIQ Urgent Care)
• Claudia B Melton, LCMHC
• Meraki Center for Wellness, PLLC
• Emily Minnick, PTA
• Aleasha Mitchell
• Jennifer Mosher, FNP-C
• Katherine Reed Murray, LCMHCA
• Lynn Murray, LCSW

• General Practice Dentistry in Archdale, NC
• Providers in Archdale, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.