Organization Active NPI

Hickory Hills Family Denal

  • Dental Clinic/Center
  • Hermitage, PA
National Provider Identifier
1427766740
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HICKORY HILLS FAMILY DENAL
Practice address
3110 Highland Rd Ste 202
Hermitage, PA 16148-4505
Phone
(724) 981-0521
NPI assigned
Nov 7, 2022
Last updated
Nov 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Dr. Tyler M Miller, DMDNPI 1154946812
Title
Owner
Phone
(724) 981-0521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3110 Highland Rd Ste 202
Hermitage, PA 16148-4505

Mailing address

3110 Highland Rd Ste 202
Hermitage, PA 16148-4505
Phone (724) 981-0521

National Provider Directory

National Provider Directory

Locations

3110 Highland Rd
Ste 202
Hermitage, PA 16148
Phone (724) 981-0521

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1427766740",
    "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKORY HILLS FAMILY DENAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-981-0521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.