Otteria Tyricka Miller, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8893 Issued in SC

Practice address

406 Chesterfield Ave
Lancaster, SC 29720-3508

Phone

(803) 283-9969

NPI assigned

Mar 31, 2017

Last updated

Mar 31, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Rucker Dentistry

  • General Practice Dentistry
  • Lancaster, SC
  • NPI 1780898460
  NPD (past)
• Skyla Inc.

  • Dental Clinic/Center
  • Rock Hill, SC
  • NPI 1003320003
  NPD (past)

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1447782297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 CHESTERFIELD AVE",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297203508",
            "telephone_number": "803-283-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 CHESTERFIELD AVE",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297203508",
            "telephone_number": "803-283-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "OTTERIA",
        "middle_name": "TYRICKA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Paige Miedema, DNAP,CRNA
• Kirellos Atef Zaki Abboud Mikhail, MD
• Milestones Speech and Language LLC
• Lesliayn Miller
• Michael McCall Miller, DO
• Mindful Interventions, LLC
• MMM Healthcare LLC
• Mobley Drugs, Inc (Mobley Drugs)
• Mobley Drugs, Inc (Mobley Rx Labs)
• Mobley Drugs, Inc. (Mobley Drugs and Medical)

• General Practice Dentistry in Lancaster, SC
• Providers in Lancaster, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.