Stanley Kelly Miller, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43640 Issued in CA

Practice address

6350 W Ramsey St
#A
Banning, CA 92220-3062

Phone

(951) 769-0466

Fax

(951) 769-3606

NPI assigned

Jan 16, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Stanley Miller DDS, Professional Corporation

  • General Practice Dentistry
  • Banning, CA
  • NPI 1942351606
  NPD (past) Authorized official
• Dr. Ohannessian Dental Corp

  • Dentist
  • Banning, CA
  • NPI 1316391071
  NPD (past)

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326672000000",
    "number": "1245501741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 W RAMSEY ST",
            "address_2": "#A",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203062",
            "telephone_number": "951-769-0466",
            "fax_number": "951-769-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 W RAMSEY ST",
            "address_2": "#A",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203062",
            "telephone_number": "951-769-0466",
            "fax_number": "951-769-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STANLEY",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward John Messmer, P.A-C
• Mfi Recovery Center
• Mfi Recovery Center
• MH Detention Services
• Carly Ann Millan, FNP
• Ashley Mills
• Michael Kenneth Mindoro, M.D.
• Pamela Mitropoulos
• Rebecca Moldovan, FNP-C
• Georjana E Moncada Bolanos, MS

• General Practice Dentistry in Banning, CA
• Providers in Banning, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; 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.

Verify at the official NPI Registry.