Individual provider Active NPI

Miriam Ting, DMD, BDS, MS

  • Oral and Maxillofacial Surgery (Dentist)
  • Paoli, PA
National Provider Identifier
1043736051
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS041313 Issued in PA
Practice address
250 W Lancaster Ave Ste 215
Paoli, PA 19301-1751
Phone
(610) 550-3333
NPI assigned
Aug 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X DS041313 PA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS041313 PA Primary

Addresses

Primary practice location

250 W Lancaster Ave Ste 215
Paoli, PA 19301-1751

Mailing address

250 W Lancaster Ave Ste 215
Paoli, PA 19301-1751
Phone (610) 550-3333

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
I20200522000296 PA Practitioner - PeriodonticsPractitioner - Oral SurgeryPractitioner - Dentist 7719308048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DS041313PAMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1043736051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W LANCASTER AVE STE 215",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011751",
            "telephone_number": "610-550-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W LANCASTER AVE STE 215",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011751",
            "telephone_number": "610-550-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TING",
        "first_name": "MIRIAM",
        "name_prefix": "Dr.",
        "credential": "DMD, BDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS041313",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS041313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.