Organization Active NPI

Ronald E Mileham DDS Inc

  • Dentist
  • Rancho Palos Verdes, CA
National Provider Identifier
1235147174
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23350 Issued in CA
Legal business name
RONALD E MILEHAM DDS INC
Practice address
29050 S Western Ave
#108
Rancho Palos Verdes, CA 90275-0820
Phone
(310) 547-0700
Fax
(310) 547-2587
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ronald E Mileham, DDS
Title
Owner
Phone
(310) 547-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 23350 CA Primary

Addresses

Primary practice location

29050 S Western Ave
#108
Rancho Palos Verdes, CA 90275-0820

Mailing address

29050 S Western Ave
#108
Rancho Palos Verdes, CA 90275-0820
Phone (310) 547-0700

Other names 1

  • South Bay Center for Aesthetic Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

29050 S Western Ave
Ste 108
Rancho Palos Verdes, CA 90275
Phone (310) 547-0700

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235147174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29050 S WESTERN AVE",
            "address_2": "#108",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750820",
            "telephone_number": "310-547-0700",
            "fax_number": "310-547-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29050 S WESTERN AVE",
            "address_2": "#108",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750820",
            "telephone_number": "310-547-0700",
            "fax_number": "310-547-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD E MILEHAM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILEHAM",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-547-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "23350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Bay Center for Aesthetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.