Organization Active NPI

Roger K Miller DDS PA

  • General Practice Dentistry
  • Kings Mountain, NC
National Provider Identifier
1649448549
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NC5035 Issued in NC
Legal business name
ROGER K MILLER DDS PA
Practice address
1303 Plaza Dr
Kings Mountain, NC 28086-2653
Phone
(704) 739-7956
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Roger K Miller, DDS PANPI 1306866553
Title
Dr
Phone
(704) 739-7956

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 NC5035 NC Primary

Addresses

Primary practice location

1303 Plaza Dr
Kings Mountain, NC 28086-2653

Mailing address

P.O. Box 638
Kings MTN, NC 28086-0638
Phone (704) 739-7956

Other identifiers 2

IdentifierTypeStateIssuer
95963OtherNCBC & BS
7995963MedicaidNC

National Provider Directory

National Provider Directory

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": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1649448549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 638",
            "city": "KINGS MTN",
            "state": "NC",
            "postal_code": "280860638",
            "telephone_number": "704-739-7956",
            "fax_number": "704-739-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 PLAZA DR",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280862653",
            "telephone_number": "704-739-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER K MILLER DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "704-739-7956",
        "authorized_official_credential": "DDS PA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC5035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC & BS",
            "identifier": "95963",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7995963",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kings Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.