Active NPI
Kalashini Amelia Miller, DDS
- General Practice Dentistry
- Palm Desert, CA
National Provider Identifier
1225780208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37877
- Practice address
- 73929 Larrea St.
Suite 2
Palm Desert, CA 92260 - Phone
- (760) 340-1030
- Fax
- (760) 346-7953
- NPI assigned
- Jan 21, 2022
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 37877 | CA | |
| General Practice Dentistry | 1223G0001X | 37877 | CA | Primary |
Addresses
Primary practice location
73929 Larrea St.
Suite 2
Palm Desert, CA 92260
Mailing address
73929 Larrea St Ste 2
Palm Desert, CA 92260-4305
Phone (310) 488-3442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220615000054 | CA | Practitioner - Oral Surgery | 3678951894 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37877 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalashini Miller DDS PC | Single Specialty | Current | Accepting new patients |
Locations
73929 Larrea St
Ste 2
Palm Desert, CA 92260
Phone (760) 340-1030
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1225780208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73929 LARREA ST STE 2",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922604305",
"telephone_number": "310-488-3442",
"fax_number": "760-846-7953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73929 LARREA ST.",
"address_2": "SUITE 2",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "92260",
"telephone_number": "760-340-1030",
"fax_number": "760-346-7953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KALASHINI",
"middle_name": "AMELIA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-21",
"last_updated": "2022-10-21",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "37877",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "37877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.