Individual provider Active NPI

Alan Miller, DDS

  • General Practice Dentistry
  • Monroeville, PA
National Provider Identifier
1942385927
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS023128L Issued in PA
Practice address
4099 William Penn Hwy
611 Jonnet Building
Monroeville, PA 15146-2521
Phone
(412) 856-0202
NPI assigned
Oct 26, 2006
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 DS023128L PA Primary

Addresses

Primary practice location

4099 William Penn Hwy
611 Jonnet Building
Monroeville, PA 15146-2521

Mailing address

4099 William Penn Hwy
611 Jonnet Building
Monroeville, PA 15146-2521
Phone (412) 856-0202

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
I20231204003184 PA Order and Referring Only - DentistPractitioner - Dentist 1850681149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS023128LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942385927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4099 WILLIAM PENN HWY",
            "address_2": "611 JONNET BUILDING",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462521",
            "telephone_number": "412-856-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4099 WILLIAM PENN HWY",
            "address_2": "611 JONNET BUILDING",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462521",
            "telephone_number": "412-856-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS023128L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.