NPIMap

Organization Active NPI

Miller and Skinner Dental Corporation

  • General Practice Dentistry
  • Merced, CA
National Provider Identifier
1154842466
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61768 Issued in CA
Legal business name
MILLER AND SKINNER DENTAL CORPORATION
Practice address
560 W. 26TH St.
Merced, CA 95340
Phone
(209) 723-5405
Fax
(209) 723-2321
NPI assigned
Jun 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Authorized official

Name
Mr. Nathan William Miller, DDSNPI 1346536596
Title
Owner Dentist
Phone
(209) 723-5405

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 61768 CA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 100236 CA

Addresses

Primary practice location

560 W. 26TH St.
Merced, CA 95340

Mailing address

560 W. 26TH St.
Merced, CA 95340
Phone (209) 723-5405

Other names 1

  • Merced Family Dentistry LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

560 W 26th St
Merced, CA 95340
Phone (209) 723-5405

Practitioners & affiliated clinicians

Practitioners 3

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": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1154842466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W. 26TH ST.",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "95340",
            "telephone_number": "209-723-5405",
            "fax_number": "209-723-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W. 26TH ST.",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "95340",
            "telephone_number": "209-723-5405",
            "fax_number": "209-723-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER AND SKINNER DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "209-723-5405",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61768",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100236",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merced Family Dentistry LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.