Active NPI
Michelle Jean Miller, RDHAP
- Dental Hygienist
- Blythe, CA
National Provider Identifier
1154717577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 600
- Practice address
- 115 E Hobsonway
Blythe, CA 92225-9395 - Phone
- (760) 922-5320
- NPI assigned
- Apr 13, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 26810 | CA | |
| Dental Hygienist | 124Q00000X | 600 | CA | Primary |
Addresses
Primary practice location
115 E Hobsonway
Blythe, CA 92225-9395
Mailing address
PO Box 411
Blythe, CA 92226-0411
Phone (909) 744-4104
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 |
|---|---|---|---|
| 26810 | CA | MD | Psychologist |
| 600 | CA | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pristine Dental Hygiene Practice of Michelle Miller Rdhap Inc | Dental Hygienist | Current | Accepting new patients |
Locations
115 E Hobsonway
Blythe, CA 92225
Phone (760) 922-5320
Organizations & group practices 1
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.
-
- Dental Hygienist
- Blythe, CA
- NPI 1619556602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1154717577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 411",
"city": "BLYTHE",
"state": "CA",
"postal_code": "922260411",
"telephone_number": "909-744-4104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E HOBSONWAY",
"city": "BLYTHE",
"state": "CA",
"postal_code": "922259395",
"telephone_number": "760-922-5320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MICHELLE",
"middle_name": "JEAN",
"credential": "RDHAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-13",
"last_updated": "2021-03-17",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "26810",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blythe, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.