NPIMap

Organization Active NPI

Susan Millar DDS a Professional Corporation

  • Dental Clinic/Center
  • Costa Mesa, CA
National Provider Identifier
1104174762
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
40377 Issued in CA
Legal business name
SUSAN MILLAR DDS A PROFESSIONAL CORPORATION
Practice address
1503 S Coast Dr Ste 200
Costa Mesa, CA 92626-1546
Phone
(714) 546-3000
Fax
(714) 546-3010
NPI assigned
Aug 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Authorized official

Name
Susan F MillarNPI 1205057619
Title
President
Phone
(714) 546-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 40377 CA Primary

Addresses

Primary practice location

1503 S Coast Dr Ste 200
Costa Mesa, CA 92626-1546

Mailing address

2850 Mesa Verde Drive E.
Suite a
Costa Mesa, CA 92626
Phone (714) 546-3000

Other names 1

  • Susan Millar DDS A Professional Corporation Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1104174762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 MESA VERDE DRIVE E.",
            "address_2": "SUITE A",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92626",
            "telephone_number": "714-546-3000",
            "fax_number": "714-546-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 S COAST DR STE 200",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261546",
            "telephone_number": "714-546-3000",
            "fax_number": "714-546-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN MILLAR DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "MILLAR",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-546-3000"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "40377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan Millar DDS A Professional Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.