Individual provider Active NPI

Trey Wyate Miller, DDS

  • Dentist
  • Harrisburg, NC
National Provider Identifier
1578085783
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10783 Issued in NC
Practice address
4291 School House Commons
Harrisburg, NC 28075
Phone
(704) 456-9611
NPI assigned
Jul 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10783 NC Primary

Addresses

Primary practice location

4291 School House Commons
Harrisburg, NC 28075

Mailing address

4291 School House CMNS
Harrisburg, NC 28075-7503
Phone (704) 456-9611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10783NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Trey Miller, DDS PLLC Current Accepting new patients
Dr Trey Miller, DDS Mooresville PLLC Current Accepting new patients
Dr. Trey Miller, DDS Concord PLLC Current Accepting new patients

Locations

4291 School House Cmns
Harrisburg, NC 28075
Phone (704) 456-9611

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1578085783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4291 SCHOOL HOUSE CMNS",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280757503",
            "telephone_number": "704-456-9611",
            "fax_number": "704-662-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4291 SCHOOL HOUSE COMMONS",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "28075",
            "telephone_number": "704-456-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TREY",
        "middle_name": "WYATE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-10",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.