Quad County Oral & Maxillofacial Surgery

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

DS020150L Issued in PA

Legal business name

QUAD COUNTY ORAL & MAXILLOFACIAL SURGERY

Practice address

114 East Dimond St
Butler, PA 16001-5906

Phone

(724) 282-6100

Fax

(724) 282-7701

NPI assigned

Nov 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Paul Miller III, DMDNPI 1821190547

Title

Owner President

Phone

(724) 282-6100

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Paul Miller III, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Butler, PA
  • NPI 1821190547
  Medicare reassignment Care Compare group NPD Authorized official
• Jeffrey Paul Miller, DMD, MPH

  • Oral and Maxillofacial Surgery (Dentist)
  • Farmington, CT
  • NPI 1629239215

  PA

  Medicare reassignment Care Compare group NPD
• William Michael Iovino, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Monroeville, PA
  • NPI 1063462562
  Medicare reassignment NPD
• Mohammed Abdul Rahman Khan, DDS MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Canonsburg, PA
  • NPI 1912009630
  Medicare reassignment NPD
• George Steven Tunder, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Pittsburgh, PA
  • NPI 1740204973

  Oral & Maxillofacial Surgery

  Medicare reassignment NPD

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033283841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 EAST DIMOND ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160015906",
            "telephone_number": "724-282-6100",
            "fax_number": "724-282-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 EAST DIMOND ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160015906",
            "telephone_number": "724-282-6100",
            "fax_number": "724-282-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD COUNTY ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "724-282-6100",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "PA",
            "license": "DS029596L",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "PA",
            "license": "DS019428L",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "PA",
            "license": "DS020150L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "QU889312",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "QU889312",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oral & Maxillofacial Surgery (D.M.D.) in Butler, PA
• Providers in Butler, PA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.