Active NPI
Jill Eugenia Garman, PHDH
- Public Health Dentistry
- Harrisburg, PA
National Provider Identifier
1952892309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- PHDH000689
- Practice address
- 110 S 17TH St
Harrisburg, PA 17104-1123 - Phone
- (717) 232-9971
- Fax
- (717) 920-3039
- NPI assigned
- May 22, 2018
- Last updated
- Dec 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | PHDH000689 | PA | Primary |
Addresses
Primary practice location
110 S 17TH St
Harrisburg, PA 17104-1123
Mailing address
110 S 17TH St
Harrisburg, PA 17104-1123
Phone (717) 232-9971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103508693-0001 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | jstauffer@hamiltonhealthcenter.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHDH000689 | PA | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1952892309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S 17TH ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041123",
"telephone_number": "717-232-9971",
"fax_number": "717-920-3039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S 17TH ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041123",
"telephone_number": "717-232-9971",
"fax_number": "717-920-3039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARMAN",
"first_name": "JILL",
"middle_name": "EUGENIA",
"name_prefix": "Miss",
"credential": "PHDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-22",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "PA",
"license": "PHDH000689",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103508693-0001",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "jstauffer@hamiltonhealthcenter.com",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "110 S 17th St",
"city": "Harrisburg",
"state": "PA",
"country_code": "US",
"postal_code": "171041123",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.