Active NPI
Robert Miller, D.D.S.
- General Practice Dentistry
- Charleston, SC
National Provider Identifier
1932201688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9395
- Practice address
- 1149 Savannah Hwy Ste 305
Charleston, SC 29407-7819 - Phone
- (843) 213-6881
- Fax
- (843) 277-1971
- NPI assigned
- Sep 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9395 | SC | Primary |
| General Practice Dentistry | 1223G0001X | 9395 | IL |
Addresses
Primary practice location
1149 Savannah Hwy Ste 305
Charleston, SC 29407-7819
Mailing address
480 Briargate Dr
South Elgin, IL 60177-2225
Phone (847) 841-1818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250816000224 | TX | Order and Referring Only - Dentist | 8123527173 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9395 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentists of West Ashley, PC | General Practice | Current | Accepting new patients |
| Revolution Dental | Past | Accepting new patients |
Locations
1149 Savannah Hwy
Ste 305
Charleston, SC 29407
Phone (440) 479-5285
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.
-
- General Practice Dentistry
- Charleston, SC
- NPI 1679320972
-
- Dental Clinic/Center
- Schaumburg, IL
- NPI 1932671708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1932201688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 BRIARGATE DR",
"city": "SOUTH ELGIN",
"state": "IL",
"postal_code": "601772225",
"telephone_number": "847-841-1818",
"fax_number": "847-301-1981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1149 SAVANNAH HWY STE 305",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077819",
"telephone_number": "843-213-6881",
"fax_number": "843-277-1971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "9395",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "9395",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.