Organization Active NPI

Elizabeth E Miller DDS Ms PA

Doing business as Rocky Mount Pediatric Dentistry

  • Pediatric Dentistry
  • Rocky Mount, NC
National Provider Identifier
1538698303
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
8454 Issued in NC
Legal business name
ELIZABETH E MILLER DDS MS PA
Doing business as
Rocky Mount Pediatric Dentistry
Practice address
73 Success CT
Rocky Mount, NC 27804-1787
Phone
(252) 937-5823
Fax
(252) 451-1386
NPI assigned
Jun 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Carol J Webb, OM
Title
Office Manager
Phone
(252) 937-5823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 8454 NC Primary

Addresses

Primary practice location

73 Success CT
Rocky Mount, NC 27804-1787

Mailing address

73 Success CT
Rocky Mount, NC 27804-1787
Phone (252) 937-5823

Other identifiers 1

IdentifierTypeStateIssuer
1528258290OtherNCINDIVIDUAL NPI

Other names 1

  • Rocky Mount Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

73 Success Ct
Rocky Mount, NC 27804
Phone (252) 443-7136

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1538698303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 SUCCESS CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041787",
            "telephone_number": "252-937-5823",
            "fax_number": "252-451-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 SUCCESS CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041787",
            "telephone_number": "252-937-5823",
            "fax_number": "252-451-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH E MILLER DDS MS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "252-937-5823",
        "authorized_official_credential": "OM"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "8454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1528258290",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Mount Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.