NPIMap

Organization Active NPI

John a. Miller, DMD, LLC

Doing business as The Dentist Office

  • General Practice Dentistry
  • Georgetown, SC
National Provider Identifier
1801019344
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2942 Issued in SC
Legal business name
JOHN A. MILLER, DMD, LLC
Doing business as
The Dentist Office
Practice address
1209 N Fraser St
Georgetown, SC 29440-2853
Phone
(843) 546-2273
Fax
(843) 546-7777
NPI assigned
Apr 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John A. Miller, DMDNPI 1750434221
Title
Proprietor
Phone
(843) 546-2273

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 Dentistry 1223G0001X 2942 SC Primary

Addresses

Primary practice location

1209 N Fraser St
Georgetown, SC 29440-2853

Mailing address

1209 N Fraser St
Georgetown, SC 29440-2853
Phone (843) 546-2273

Other identifiers 1

IdentifierTypeStateIssuer
Z29425MedicaidSC

Other names 1

  • THE DENTIST OFFICE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John a Miller DMD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1209 N Fraser St
Georgetown, SC 29440
Phone (843) 546-2273

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801019344",
    "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": "843-546-2273",
            "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": "843-546-2273",
            "fax_number": "843-546-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. MILLER, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "843-546-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z29425",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE DENTIST OFFICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.