NPIMap

Organization Active NPI

Robert B. Miller, IV, DDS, PLLC

  • Dentist
  • New Bern, NC
National Provider Identifier
1952405474
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7519 Issued in NC
Legal business name
ROBERT B. MILLER, IV, DDS, PLLC
Practice address
1505 S Glenburnie Rd Ste J
New Bern, NC 28562-2632
Phone
(252) 672-4404
Fax
(252) 672-4402
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Authorized official

Name
Dr. Robert B Miller IV, DDSNPI 1417064379
Title
President/ Owner
Phone
(252) 626-9729

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7519 NC Primary

Addresses

Primary practice location

1505 S Glenburnie Rd Ste J
New Bern, NC 28562-2632

Mailing address

1505 S Glenburnie Rd Ste J
New Bern, NC 28562-2632
Phone (252) 672-4404

Other identifiers 3

IdentifierTypeStateIssuer
5902574MedicaidNC
5950777MedicaidNC
89015C2MedicaidNC

Other names 1

  • Complete Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

1505 S Glenburnie Rd
Ste J
New Bern, NC 28562
Phone (252) 672-4404

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1952405474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 S GLENBURNIE RD STE J",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622632",
            "telephone_number": "252-672-4404",
            "fax_number": "252-672-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 S GLENBURNIE RD STE J",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622632",
            "telephone_number": "252-672-4404",
            "fax_number": "252-672-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B. MILLER, IV, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "252-626-9729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "7519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902574",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950777",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015C2",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.