Individual provider Active NPI

Michelle D Miller, DMD

  • Dentist
  • Chester, PA
National Provider Identifier
1477764033
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS035121-L Issued in PA
Practice address
125 E 9TH St
Chester, PA 19013-6019
Phone
(610) 874-6231
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS035121-L PA Primary

Addresses

Primary practice location

125 E 9TH St
Chester, PA 19013-6019

Mailing address

125 E 9TH St
Chester, PA 19013-6019

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160114001866 PA Practitioner - Oral Surgery 0345568390 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS035121-LPAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Resources for Human Development, Inc. CurrentSince Nov 10, 2015 Accepting new patients
Chespenn Health Services CurrentSince Apr 6, 2025 Accepting new patients
Chespenn Health Services CurrentSince Apr 6, 2025 Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Nov 10, 2015 Accepting new patients
Chespenn Health Services Past Accepting new patients
Resources for Human Development, Inc. Past Accepting new patients
Family Practice & Counseling Services Network, Inc. Past Accepting new patients
Family Practice & Counseling Services Network, Inc. Past Accepting new patients

Locations

125 E 9th St
Chester, PA 19013
Phone (610) 872-6131

744 E Lincoln Hwy
Ste 110
Coatesville, PA 19320
Phone (610) 380-4660

850 N 11th St
Philadelphia, PA 19123
Phone (215) 685-2684

6120 Woodland Ave
Fl The
Philadelphia, PA 19142
Phone (215) 727-4721

4700 Wissahickon Ave
Ste 118
Philadelphia, PA 19144
Phone 26759736006771

2300 W Master St
Philadelphia, PA 19121
Phone (267) 687-1172

4700 Wissahickon Ave
Bldg D
Philadelphia, PA 19144
Phone (215) 843-9720

5 S State Rd
Upper Darby, PA 19082
Phone (610) 352-6585

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1477764033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E 9TH ST",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190136019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E 9TH ST",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190136019",
            "telephone_number": "610-874-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHELLE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS035121-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

Verify at the official NPI Registry.