EVAN N MILLER (NPI# 1619023132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619023132 |
Entity Type | Individual |
Full Name | EVAN N MILLER |
Credential | DDS |
Practice Address |
130 Providence Road Charlotte NC 28207 |
Practice Telephone | 7043771444 |
Practice Fax Number | 7043771451 |
Mailing Telephone | 7043771444 |
Mailing Fax Number | 7043771451 |
Enumeration Date | 2007-01-26 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
5830 | NC | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 7995971 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518586601 | Evan G Miller | Dentist | 1065 West Perimeter Road, Jb Andrews, MD 20762-4320 | 2020-04-09 |
1902445463 | Evan Miller | Counselor | 7432 Darblay St, Huntersville, NC 28078-1002 | 2020-01-02 |
1447858568 | Evan Miller | Counselor | 1100 Adams Ave, Philadelphia, PA 19124-3101 | 2020-10-12 |
1073076634 | Evan Mark Miller | Student in an Organized Health Care Education/Training Program | One Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2019-04-10 |
1255893996 | Evan Miller | Case Manager/Care Coordinator | 1301 N High St, Columbus, OH 43201-2460 | 2019-04-02 |
1811471303 | Evan Miller | Nurse Practitioner | 8803 S 101st East Ave, Ste 100, Tulsa, OK 74133-7546 | 2018-09-20 |
1992225221 | Evan C Miller | Counselor | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2017-06-27 |
1366843690 | Evan Miller | Counselor | 3500 Lakeside Ct Ste 101, Reno, NV 89509-4862 | 2014-09-05 |
1356616858 | Evan Miller | Emergency Medicine | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2012-03-16 |
1982839296 | Evan T Miller | Anesthesiology | 4725 Statesmen Dr, Ste. C-d, Indianapolis, IN 46250-5644 | 2009-05-16 |
Street Address |
130 PROVIDENCE ROAD |
City | CHARLOTTE |
State | NC |
Zip Code | 28207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962558346 | Joe H Camp | Dentist | 130 Providence Road, Charlotte, NC 28207 | 2007-01-26 |
1528190923 | Zachary P Schnoor | Dentist | 130 Providence Road, Charlotte, NC 28207 | 2007-03-12 |
1659427169 | William C Myers | Dentist | 130 Providence Road, Charlotte, NC 28207 | 2007-01-26 |
1598811960 | Stephen C Wheeler | Dentist | 130 Providence Road, Charlotte, NC 28207 | 2007-01-26 |
1285780791 | Edwin C Bryson IIi | Dentist | 130 Providence Road, Charlotte, NC 28207 | 2007-01-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
Find all providers in zip 28207 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255818944 | Queen City Endodontics | Dentist | 5232 Albemarle Rd Ste C, Charlotte, NC 28212-3644 | 2018-07-25 |
1952891921 | Evan Novick Dmd Pa | Dentist | 3535 Randolph Rd Ste 101, Charlotte, NC 28211-1067 | 2018-05-15 |
1275770075 | Robert R Haglund Jr. | Dentist | 8927 J M Keynes Dr # 330, Charlotte, NC 28262-8433 | 2009-01-15 |
1093919607 | Evan N. Miller, Dds, Pa | Dentist | 130 Providence Rd, Charlotte, NC 28207-1218 | 2007-06-14 |
1144421678 | Dr. Alvin S. Goodman, P.a. | Dentist | 3535 Randolph Rd., Suite R-101, Charlotte, NC 28211-1032 | 2007-05-31 |
1962558346 | Joe H Camp | Dentist | 130 Providence Road, Charlotte, NC 28207 | 2007-01-26 |
1982705992 | Richard John Pockat | Dentist | 425 South Sharon Amity Road, Suite B, Charlotte, NC 28211-2841 | 2006-09-25 |
1699787333 | Gary R Sugg | Dentist | 4525 Park Road, Ste B104, Charlotte, NC 28209-3723 | 2006-08-12 |
1528087384 | Ramesh Kumar Sunar | Dentist | 2809 Coltsgate Rd, Suite100, Charlotte, NC 28211-5582 | 2006-07-19 |
1063414175 | Luis Antonio Chamorro | Dentist | 11535 Carmel Commons Blvd, Ste 205, Charlotte, NC 28226-5314 | 2005-06-01 |
Find all providers in CHARLOTTE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.