Tyler Miller

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

RES.004234 Issued in OH

Practice address

3110 Highland Rd Ste 202
Hermitage, PA 16148-4505

Phone

(724) 981-0521

Fax

(724) 981-9790

NPI assigned

Jun 9, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hickory Hills Family Denal

  • Dental Clinic/Center
  • Hermitage, PA
  • NPI 1427766740
  NPD Authorized official

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1154946812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 HIGHLAND RD STE 202",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161484505",
            "telephone_number": "724-981-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 HIGHLAND RD STE 202",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161484505",
            "telephone_number": "724-981-0521",
            "fax_number": "724-981-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "RES.004234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Daniel Miller, MD
• Krysten Diane Miller, DMD
• Sharon L Miller, DO
• Susan Kathleen Miller, PT
• Tabatha Miller, OTR/L
• Victoria Miller
• Mind Renewal Therapy, LLC
• Wayne Minton Sr., DPM
• T David Mistretta, D.C.
• Mobile Freedom LLC

• General Practice Dentistry in Hermitage, PA
• Providers in Hermitage, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.