Individual provider Active NPI

George Miles Royer, D.M.D.

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1639265028
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS026352L Issued in PA
Practice address
3737 Poplar Ave
Pittsburgh, PA 15234-2155
Phone
(412) 531-7393
Fax
(412) 341-2187
NPI assigned
Oct 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS026352L PA Primary

Addresses

Primary practice location

3737 Poplar Ave
Pittsburgh, PA 15234-2155

Mailing address

3737 Poplar Ave
Pittsburgh, PA 15234-2155
Phone (412) 531-7393

Other identifiers 1

IdentifierTypeStateIssuer
522906OtherPAUCCI IDENTIFICATION NUMBE

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
I20150526002323 PA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3375863731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639265028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 POPLAR AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152342155",
            "telephone_number": "412-531-7393",
            "fax_number": "412-341-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 POPLAR AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152342155",
            "telephone_number": "412-531-7393",
            "fax_number": "412-341-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYER",
        "first_name": "GEORGE",
        "middle_name": "MILES",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026352L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI IDENTIFICATION NUMBE",
            "identifier": "522906",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.