Organization Active NPI

Miller and Associates Four PLLC

  • Dentist
  • Leland, NC
National Provider Identifier
1801232244
Registry record updated May 13, 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 FOUR PLLC
Practice address
1006 Northgate Dr
Leland, NC 28451-6448
Phone
(910) 371-9444
NPI assigned
May 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7519 NC Primary

Addresses

Primary practice location

1006 Northgate Dr
Leland, NC 28451-6448

Mailing address

1006 Northgate Dr
Leland, NC 28451-6448
Phone (910) 371-9444

Other identifiers 1

IdentifierTypeStateIssuer
89015C2MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1801232244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 NORTHGATE DR",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284516448",
            "telephone_number": "910-371-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 NORTHGATE DR",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284516448",
            "telephone_number": "910-371-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER AND ASSOCIATES FOUR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "7519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015C2",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.