NPIMap

Organization Active NPI

Glenn B. Miller, D.D.S., P.a.

  • General Practice Dentistry
  • Asheville, NC
National Provider Identifier
1801965348
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4517 Issued in NC
Legal business name
GLENN B. MILLER, D.D.S., P.A.
Practice address
1944 Hendersonville Rd
Park South B-2
Asheville, NC 28803-2351
Phone
(828) 684-3839
Fax
(828) 681-0937
NPI assigned
Nov 7, 2006
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. Glenn Bradley Miller, D.D.S.NPI 1104995687
Title
President
Phone
(828) 684-3839

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 4517 NC Primary

Addresses

Primary practice location

1944 Hendersonville Rd
Park South B-2
Asheville, NC 28803-2351

Mailing address

1944 Hendersonville Rd
Park South B-2
Asheville, NC 28803-2351
Phone (828) 684-3839

Other identifiers 2

IdentifierTypeStateIssuer
95958OtherBLUE CROSS BLUE SHIELD ID
8995958MedicaidNC

National Provider Directory

National Provider Directory

Locations

1944 Hendersonville Rd
Ste B2
Asheville, NC 28803
Phone (828) 684-3839

Practitioners & affiliated clinicians

Practitioners 2

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801965348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944 HENDERSONVILLE RD",
            "address_2": "PARK SOUTH B-2",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032351",
            "telephone_number": "828-684-3839",
            "fax_number": "828-681-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 HENDERSONVILLE RD",
            "address_2": "PARK SOUTH B-2",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032351",
            "telephone_number": "828-684-3839",
            "fax_number": "828-681-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN B. MILLER, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-684-3839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "95958",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8995958",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

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.