Organization Active NPI

Brenda Miller DDS

  • Dental Clinic/Center
  • Redlands, CA
National Provider Identifier
1013624857
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BRENDA MILLER DDS
Practice address
10010 Alabama St
Redlands, CA 92374-2068
Phone
(951) 313-5068
NPI assigned
Nov 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Christine Hernandez
Title
Office Manager
Phone
(909) 219-5229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

10010 Alabama St
Redlands, CA 92374-2068

Mailing address

1455 Charleston LN
Redlands, CA 92373-7041
Phone (951) 313-5068

Other names 1

  • Redlands Town Dental Doing business as

National Provider Directory

National Provider Directory

Locations

10010 Alabama St
Redlands, CA 92374
Phone (951) 313-5068

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1013624857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 CHARLESTON LN",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923737041",
            "telephone_number": "951-313-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 ALABAMA ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742068",
            "telephone_number": "951-313-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA MILLER DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-219-5229"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redlands Town Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.