Individual provider Active NPI

Shelly Ann Milera, D.M.D.

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1063697183
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55902 Issued in CA
Practice address
8231 E Stockton Blvd Ste C
Sacramento, CA 95828-8202
Phone
(916) 737-5573
Fax
(916) 405-6342
NPI assigned
Jan 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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 55902 CA Primary

Addresses

Primary practice location

8231 E Stockton Blvd Ste C
Sacramento, CA 95828-8202

Mailing address

8231 E Stockton Blvd Ste C
Sacramento, CA 95828-8202
Phone (916) 737-5573

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

LicenseStateTypeSpecialty
55902CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Shafa & Arshadnia Dental Corporation General Practice Past Accepting new patients
Wellspace Health PastSince Sep 6, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: smilera769778@direct.ochin.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1063697183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8231 E STOCKTON BLVD STE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958288202",
            "telephone_number": "916-737-5573",
            "fax_number": "916-405-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8231 E STOCKTON BLVD STE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958288202",
            "telephone_number": "916-737-5573",
            "fax_number": "916-405-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILERA",
        "first_name": "SHELLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.