Individual provider Active NPI

Cynthia Miller, D.M.D.

  • Dentist
  • Curwensville, PA
National Provider Identifier
1801886387
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS0313057L Issued in PA
Practice address
816 State St
Curwensville, PA 16833-1039
Phone
(814) 236-0539
Fax
(814) 236-0443
NPI assigned
Oct 25, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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
Dentist 122300000X DS0313057L PA Primary

Addresses

Primary practice location

816 State St
Curwensville, PA 16833-1039

Mailing address

1005 Treasure LK
Du Bois, PA 15801-9024
Phone (814) 372-2377

Other identifiers 1

IdentifierTypeStateIssuer
0018263730001MedicaidPA

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
I20150121000718 PA Practitioner - Oral Surgery 9335463454 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS0313057LPAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Melanie E. Jordan, DDS, PC CurrentSince Jan 1, 2015 Accepting new patients

Locations

816 State St
Curwensville, PA 16833
Phone (814) 236-0539

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801886387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 TREASURE LK",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158019024",
            "telephone_number": "814-372-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 STATE ST",
            "city": "CURWENSVILLE",
            "state": "PA",
            "postal_code": "168331039",
            "telephone_number": "814-236-0539",
            "fax_number": "814-236-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS0313057L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018263730001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Curwensville, PA

Sources for this page

Verify at the official NPI Registry.