Calandria Miller, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS036533 Issued in PA

Practice address

217 S State St
Clarks Summit, PA 18411

Phone

(570) 587-3828

Fax

(570) 587-5266

NPI assigned

Dec 28, 2006

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316003262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S STATE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "18411",
            "telephone_number": "570-587-3828",
            "fax_number": "570-587-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S STATE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "18411",
            "telephone_number": "570-587-3828",
            "fax_number": "570-587-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CALANDRIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Ann Messler, M.A.
• Metropolitan Optical
• Thomas Meyer, M.D.
• Brooke Mikesell
• Breanna Miller
• Kenneth Gordon Miller, DDS
• Kandy Mills, PT
• Jillian Denise Mishko
• Jennifer Jill Mishkula-Morgan, PHARM D
• Marsha E Modery, MD

• General Practice Dentistry in Clarks Summit, PA
• Providers in Clarks Summit, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.