Glenn J. Miller, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS022913L Issued in PA

Practice address

130 Almshouse Rd
Suite 500
Richboro, PA 18954-1100

Phone

(215) 322-0440

Fax

(215) 322-3941

NPI assigned

Jun 30, 2008

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

Other identifiers 1

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

Practice roles

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.

• Richboro Family Dentistry LLC

  • General Practice Dentistry
  • Richboro, PA
  • NPI 1508921644
  NPD (past)

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1396907473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ALMSHOUSE RD",
            "address_2": "SUITE 500",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541100",
            "telephone_number": "215-322-0440",
            "fax_number": "215-322-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ALMSHOUSE RD",
            "address_2": "SUITE 500",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541100",
            "telephone_number": "215-322-0440",
            "fax_number": "215-322-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GLENN",
        "middle_name": "J.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS022913L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI - RICHBORO FAMILY DENTISTRY LLC",
            "identifier": "1508921644",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medica Center of Richboro, P.C.
• Medishuttle Transportation LLC
• Robert H Menapace, PHD
• Anthony J Menard, PHARMD
• Brittany Joelle Miller
• Jennifer Minkovich, DO
• Lauren Mueller, PT, DPT
• Daksha Mull, OT
• John Michael Murray, OTR/L
• Daniel Nagrudny, PHARMD

• General Practice Dentistry in Richboro, PA
• Providers in Richboro, 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 Jun 30, 2008; 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.