Active NPI
Miller and Associates Five LLC
Doing business as Miller and Associates
- Dentist
- Surfside Beach, SC
National Provider Identifier
1609202357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7519
- Legal business name
- MILLER AND ASSOCIATES FIVE LLC
- Doing business as
- Miller and Associates
- Practice address
- 1602 Highway 17 N
Surfside Beach, SC 29575-6015 - Phone
- (843) 238-3332
- NPI assigned
- Sep 25, 2013
- Last updated
- Sep 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Bailey Miller IV, DDS
- Title
- Owner
- Phone
- (252) 626-9729
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7519 | NC | Primary |
Addresses
Primary practice location
1602 Highway 17 N
Surfside Beach, SC 29575-6015
Mailing address
1602 Highway 17 N
Surfside Beach, SC 29575-6015
Phone (843) 238-3332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89902N1 | Medicaid | NC |
Other names 1
- Miller and Associates
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380067200000",
"number": "1609202357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 HIGHWAY 17 N",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295756015",
"telephone_number": "843-238-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 HIGHWAY 17 N",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295756015",
"telephone_number": "843-238-3332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLER AND ASSOCIATES FIVE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-25",
"last_updated": "2013-09-25",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "BAILEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-626-9729",
"authorized_official_name_suffix": "IV",
"authorized_official_credential": "DDS"
},
"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": [
{
"organization_name": "Miller and Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Surfside Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.