NPIMap

Organization Active NPI

Jerold W. Miller, DDS, PC

Doing business as Dentists On The Square

  • Dentist
  • Philadelphia, PA
National Provider Identifier
1700096344
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JEROLD W. MILLER, DDS, PC
Doing business as
Dentists On The Square
Practice address
1845 Walnut St
Suite 950
Philadelphia, PA 19103-4708
Phone
(215) 567-0110
Fax
(215) 864-0496
NPI assigned
May 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jerold Warren Miller, D.D.S.NPI 1811104136
Title
President
Phone
(215) 567-0110

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
Dentist 122300000X PA Primary

Addresses

Primary practice location

1845 Walnut St
Suite 950
Philadelphia, PA 19103-4708

Mailing address

1845 Walnut St
Suite 950
Philadelphia, PA 19103-4708
Phone (215) 567-0110

Other names 1

  • Dentists On The Square Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700096344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 WALNUT ST",
            "address_2": "SUITE 950",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034708",
            "telephone_number": "215-567-0110",
            "fax_number": "215-864-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 WALNUT ST",
            "address_2": "SUITE 950",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034708",
            "telephone_number": "215-567-0110",
            "fax_number": "215-864-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROLD W. MILLER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JEROLD",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-567-0110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists On The Square",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.