Elyce D. Millery, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15481 Issued in MD

Practice address

7581 Buckingham Blvd Ste 100
Hanover, MD 21076

Phone

(443) 863-2273

Fax

(443) 863-7111

NPI assigned

Aug 1, 2013

Sex

Female

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 MD

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

Locations

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.

• Inspired Dental Care LLC

  • Dental Clinic/Center
  • Hanover, MD
  • NPI 1225872732
  NPD Authorized official

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1891127866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7581 BUCKINGHAM BLVD STE 100",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210763182",
            "telephone_number": "443-863-2273",
            "fax_number": "443-863-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7581 BUCKINGHAM BLVD STE 100",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "21076",
            "telephone_number": "443-863-2273",
            "fax_number": "443-863-7111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1522 Pointer Ridge Pl Ste K",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207161875",
            "country_code": "US",
            "telephone_number": "301-249-9098",
            "fax_number": "301-249-9298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLERY",
        "first_name": "ELYCE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071082200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medstar Urgent Care LLC
• Darien Antoine Mellerson, DPT
• MH Health Care Services, PC
• Michelle Pearce Wellness
• Kristy Miller, LGSW
• MNR Industries, LLC
• Virginia Marilyn Moore, M.D.
• Bryan B. Moradi, DDS
• Richard Morgan, DPT
• Morningside House of Friendship

• General Practice Dentistry in Hanover, MD
• Providers in Hanover, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.