NPIMap

Organization Active NPI

Miller Oral Surgery, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Harrisburg, PA
National Provider Identifier
1164495149
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS027491L Issued in PA
Legal business name
MILLER ORAL SURGERY, INC.
Practice address
400 Nationwide Dr
Harrisburg, PA 17110-9752
Phone
(717) 657-4400
Fax
(717) 657-4410
NPI assigned
Feb 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Mrs. Jeanne C Jacobs
Title
Business Manager
Phone
(717) 657-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DS027491L PA Primary

Addresses

Primary practice location

400 Nationwide Dr
Harrisburg, PA 17110-9752

Mailing address

400 Nationwide Dr
Harrisburg, PA 17110-9752
Phone (717) 657-4400

National Provider Directory

National Provider Directory

Locations

400 Nationwide Dr
Harrisburg, PA 17110
Phone (717) 545-5970

1664 E Chocolate Ave
Hershey, PA 17033
Phone (717) 533-1537

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1164495149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NATIONWIDE DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109752",
            "telephone_number": "717-657-4400",
            "fax_number": "717-657-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NATIONWIDE DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109752",
            "telephone_number": "717-657-4400",
            "fax_number": "717-657-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER ORAL SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "717-657-4400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS027491L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.