NPIMap

Organization Active NPI

Matthew Lee Miller

  • General Practice Dentistry
  • Inwood, WV
National Provider Identifier
1609354877
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4292 Issued in WV
Legal business name
MATTHEW LEE MILLER
Practice address
372 Middleway Pike Ste a
Inwood, WV 25428-3909
Phone
(304) 229-5851
Fax
(304) 229-0666
NPI assigned
Jul 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Authorized official

Name
Dr. Matthew Lee Miller, DDSNPI 1801203856
Title
Owner/Dentist
Phone
(304) 229-5851

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4292 WV Primary

Addresses

Primary practice location

372 Middleway Pike Ste a
Inwood, WV 25428-3909

Mailing address

372 Middleway Pike Ste a
Inwood, WV 25428-3909
Phone (304) 229-5851

Other identifiers 2

IdentifierTypeStateIssuer
1912922873MedicaidWV
1790048247MedicaidWV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1609354877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 MIDDLEWAY PIKE STE A",
            "city": "INWOOD",
            "state": "WV",
            "postal_code": "254283909",
            "telephone_number": "304-229-5851",
            "fax_number": "304-229-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 MIDDLEWAY PIKE STE A",
            "city": "INWOOD",
            "state": "WV",
            "postal_code": "254283909",
            "telephone_number": "304-229-5851",
            "fax_number": "304-229-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW LEE MILLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "304-229-5851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "4292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912922873",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790048247",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inwood, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.