Individual provider Active NPI

Ang Li-Miller, DMD

  • Dentist
  • Monaca, PA
National Provider Identifier
1033698204
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS041924 Issued in PA
Practice address
125 Wagner Rd
Monaca, PA 15061-2457
Phone
(724) 431-6421
NPI assigned
Aug 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS041924 PA Primary

Addresses

Primary practice location

125 Wagner Rd
Monaca, PA 15061-2457

Mailing address

2126 Bear Run Dr
Pittsburgh, PA 15237-7604
Phone (518) 258-2485

Other practice location 1

222 W Cunningham St
Butler, PA 16001-5790
Phone (855) 617-6453

Other names 1

  • Ang Li-Miller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20230920003834 PA Order and Referring Only - DentistPractitioner - Dentist 0941654297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS041924PAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1033698204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 BEAR RUN DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152377604",
            "telephone_number": "518-258-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WAGNER RD",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150612457",
            "telephone_number": "724-431-6421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 W Cunningham St",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "160015790",
            "country_code": "US",
            "telephone_number": "855-617-6453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI-MILLER",
        "first_name": "ANG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS041924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANG",
            "last_name": "LI-MILLER",
            "credential": "ANG LI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monaca, PA

Sources for this page

Verify at the official NPI Registry.