Individual provider Active NPI

Gregory A Millwood, DMD

  • General Practice Dentistry
  • Cayce, SC
National Provider Identifier
1922074186
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3904 Issued in SC
Practice address
1313 State St
Cayce, SC 29033
Phone
(803) 796-1734
Fax
(803) 796-5041
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3904 SC Primary

Addresses

Primary practice location

1313 State St
Cayce, SC 29033

Mailing address

1313 State St
Cayce, SC 29033
Phone (803) 796-1734

Other identifiers 1

IdentifierTypeStateIssuer
ZA9552MedicaidSC

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150521002025 SC Order and Referring Only - General PracticePractitioner - General Practice 8628398211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cayce Family Dentistry, LLC General Practice Past Accepting new patients
Charles E Millwood Jr DMD, PA General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1922074186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 STATE ST",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "29033",
            "telephone_number": "803-796-1734",
            "fax_number": "803-796-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 STATE ST",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "29033",
            "telephone_number": "803-796-1734",
            "fax_number": "803-796-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLWOOD",
        "first_name": "GREGORY",
        "middle_name": "A",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9552",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayce, SC

Sources for this page

Verify at the official NPI Registry.