Organization Active NPI

Marshall V Miller

  • Dentist
  • Goose Creek, SC
National Provider Identifier
1962670042
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MARSHALL V MILLER
Practice address
122A South Goose Creek Blvd
Goose Creek, SC 29445
Phone
(843) 764-3081
NPI assigned
Feb 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Marshall Miller
Title
Owner
Phone
(843) 764-3081

Specialties & licenses 1

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

Addresses

Primary practice location

122A South Goose Creek Blvd
Goose Creek, SC 29445

Mailing address

PO Box 38
Goose Creek, SC 29445-0038
Phone (843) 764-3081

National Provider Directory

National Provider Directory

Locations

122A S Goose Creek Blvd
Goose Creek, SC 29445
Phone (843) 764-3081

Practitioners & affiliated clinicians

Practitioners 2

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": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1962670042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294450038",
            "telephone_number": "843-764-3081",
            "fax_number": "843-764-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122A SOUTH GOOSE CREEK BLVD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "29445",
            "telephone_number": "843-764-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL V MILLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-764-3081",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.