NPIMap

Organization Active NPI

Micah M. Oller D.M.D., Inc.

  • Endodontics
  • Milpitas, CA
National Provider Identifier
1295016608
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
45163 Issued in CA
Legal business name
MICAH M. OLLER D.M.D., INC.
Practice address
466 E Calaveras Blvd
Suite B
Milpitas, CA 95035-5453
Phone
(408) 263-6660
Fax
(408) 263-8409
NPI assigned
Aug 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Authorized official

Name
Dr. Micah M. Oller, D.M.D.NPI 1932225885
Title
Owner
Phone
(408) 263-6660

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 45163 CA Primary

Addresses

Primary practice location

466 E Calaveras Blvd
Suite B
Milpitas, CA 95035-5453

Mailing address

466 E Calaveras Blvd
Suite B
Milpitas, CA 95035-5453
Phone (408) 263-6660

Other names 1

  • Endodontics of Silicon Valley Doing business as

National Provider Directory

National Provider Directory

Locations

466 E Calaveras Blvd
Ste B
Milpitas, CA 95035
Phone (408) 263-6660

Practitioners & affiliated clinicians

Practitioners 2

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": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1295016608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 E CALAVERAS BLVD",
            "address_2": "SUITE B",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355453",
            "telephone_number": "408-263-6660",
            "fax_number": "408-263-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 E CALAVERAS BLVD",
            "address_2": "SUITE B",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355453",
            "telephone_number": "408-263-6660",
            "fax_number": "408-263-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICAH M. OLLER D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "OLLER",
        "authorized_official_first_name": "MICAH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-263-6660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "45163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endodontics of Silicon Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.