John A Miller, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

2942 Issued in SC

Practice address

1209 N Fraser St
Georgetown, SC 29440-2853

Phone

(843) 546-5555

Fax

(843) 546-7777

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• John a. Miller, DMD, LLC

  • General Practice Dentistry
  • Georgetown, SC
  • NPI 1801019344
  NPD (past) Authorized official

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1750434221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 N FRASER ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294402853",
            "telephone_number": "843-546-5555",
            "fax_number": "843-546-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 N FRASER ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294402853",
            "telephone_number": "843-546-5555",
            "fax_number": "843-546-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "2942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z29425",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mending Bridges Case Management
• Andrew Merritt, MD
• Jillian R Metherd, RD
• Michael E Piepenbring DMD Ms PC
• Mary L Michael, CRNA
• David Lee Milling, MD
• Glenda E Minter, PA C
• Jazzmin Mitchell
• Jonathon Monroe, DO
• Bethany Moore, OT

• Dentist in Georgetown, SC
• Providers in Georgetown, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.