Individual provider Active NPI

Joshua P McMillen, D.M.D

  • General Practice Dentistry
  • Millerstown, PA
National Provider Identifier
1699222653
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS040538 Issued in PA
Practice address
2 S Market St
Millerstown, PA 17062-9780
Phone
(717) 622-5903
Fax
(717) 622-5913
NPI assigned
Sep 7, 2016
Last updated
Jun 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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 DS040538 PA Primary

Addresses

Primary practice location

2 S Market St
Millerstown, PA 17062-9780

Mailing address

PO Box 584
Millerstown, PA 17062-0584
Phone (717) 622-5903

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
I20161212000223 PA Order and Referring Only - DentistPractitioner - Dentist 0042590903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS040538PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1699222653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 584",
            "city": "MILLERSTOWN",
            "state": "PA",
            "postal_code": "170620584",
            "telephone_number": "717-622-5903",
            "fax_number": "717-622-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 S MARKET ST",
            "city": "MILLERSTOWN",
            "state": "PA",
            "postal_code": "170629780",
            "telephone_number": "717-622-5903",
            "fax_number": "717-622-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLEN",
        "first_name": "JOSHUA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-07",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millerstown, PA

Sources for this page

Verify at the official NPI Registry.