Individual provider Active NPI

Robert D Miller, D.M.D.

  • General Practice Dentistry
  • Sarasota, FL
National Provider Identifier
1932504057
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN21032 Issued in FL
Practice address
2809 University Pkwy
Sarasota, FL 34243-4201
Phone
(201) 264-7989
NPI assigned
Oct 31, 2014
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6576 NV
General Practice Dentistry 1223G0001X DN21032 FL Primary

Addresses

Primary practice location

2809 University Pkwy
Sarasota, FL 34243-4201

Mailing address

2809 University Pkwy
Sarasota, FL 34243-4201
Phone (201) 264-7989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20170105002041 CA Order and Referring Only - DentistPractitioner - Dentist 8224319207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6576NVMDDentist
DN21032FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sarasota Bay Dental CurrentSince Jul 23, 2023 Accepting new patients
Watanabe Town Center Dental Group, Professional Corporation General Practice Past Accepting new patients

Locations

2809 University Pkwy
Sarasota, FL 34243
Phone (201) 264-7989

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1932504057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 UNIVERSITY PKWY",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342434201",
            "telephone_number": "201-264-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 UNIVERSITY PKWY",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342434201",
            "telephone_number": "201-264-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-31",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6576",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN21032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.