Organization Active NPI

Miller and Associates Five LLC

Doing business as Miller and Associates

  • Dentist
  • Surfside Beach, SC
National Provider Identifier
1609202357
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7519 Issued in NC
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
89902N1MedicaidNC

Other names 1

  • Miller and Associates Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.