Magic Marquetia Miller, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3527 Issued in WV

Practice address

1911 Valley Rd
Berkeley Springs, WV 25411-4815

Phone

(304) 258-7800

Fax

(304) 258-1260

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Berkeley Springs Dentistry

  • Dentist
  • Berkeley Springs, WV
  • NPI 1295266948
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962589655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 VALLEY RD",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254114815",
            "telephone_number": "304-258-7800",
            "fax_number": "304-258-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 VALLEY RD",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254114815",
            "telephone_number": "304-258-7800",
            "fax_number": "304-258-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MAGIC",
        "middle_name": "MARQUETIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4003051-000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Miller
• Jessica Miller
• Joyce Jenell Miller
• Lucy Miller
• Lynn Carroll Miller, RPH
• Mandy M Miller
• Jeremy Mills
• MLS Counseling Services, LLC
• Tosheena Moore, HIS
• Morgan County Board of Education

• General Practice Dentistry in Berkeley Springs, WV
• Providers in Berkeley Springs, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.