Active NPI
Robert D Miller, D.M.D.
- General Practice Dentistry
- Sarasota, FL
National Provider Identifier
1932504057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN21032
- Practice address
- 2809 University Pkwy
Sarasota, FL 34243-4201 - Phone
- (201) 264-7989
- NPI assigned
- Oct 31, 2014
- Last updated
- Jul 17, 2023
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170105002041 | CA | Order and Referring Only - Dentist | 8224319207 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6576 | NV | MD | Dentist |
| DN21032 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarasota Bay Dental | Current | 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.
-
- Dental Clinic/Center
- Sarasota, FL
- NPI 1306525274
-
dba Montecito Town Center Dental Group
- General Practice Dentistry
- Las Vegas, NV
- NPI 1104954833
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.