Individual provider Active NPI

Madeline Miller, DDS

  • Dentist
  • Clovis, CA
National Provider Identifier
1326822784
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
109214 Issued in CA
Practice address
2320 Clovis Ave Ste 102
Clovis, CA 93612-4004
Phone
(559) 472-9978
NPI assigned
Aug 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 109214 CA Primary

Addresses

Primary practice location

2320 Clovis Ave Ste 102
Clovis, CA 93612-4004

Mailing address

5080 N Pleasant Ave
Fresno, CA 93711-2709
Phone (559) 260-2084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
109214CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rigor Dental Corporation CurrentSince Sep 5, 2023 Accepting new patients
Prieto Dental Corporation CurrentSince Sep 5, 2023 Accepting new patients

Locations

2320 Clovis Ave
Ste 102
Clovis, CA 93612
Phone (559) 472-9978

Organizations & group practices 2

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": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1326822784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 N PLEASANT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937112709",
            "telephone_number": "559-260-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 CLOVIS AVE STE 102",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936124004",
            "telephone_number": "559-472-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MADELINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.