Individual provider Active NPI

Gregory Wayne Miller, D.D.S.

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1821216649
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS023683L Issued in PA
Practice address
105 Braunlich Dr
Suite 260
Pittsburgh, PA 15237-3348
Phone
(412) 366-6369
Fax
(813) 762-2928
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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 DS023683L PA Primary

Addresses

Primary practice location

105 Braunlich Dr
Suite 260
Pittsburgh, PA 15237-3348

Mailing address

105 Braunlich Dr
Suite 260
Pittsburgh, PA 15237-3348
Phone (412) 366-6369

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
I20150624000069 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8921319518

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1821216649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BRAUNLICH DR",
            "address_2": "SUITE 260",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373348",
            "telephone_number": "412-366-6369",
            "fax_number": "813-762-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BRAUNLICH DR",
            "address_2": "SUITE 260",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373348",
            "telephone_number": "412-366-6369",
            "fax_number": "813-762-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GREGORY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS023683L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.