Active NPI
Madeline Miller, DDS
- Dentist
- Clovis, CA
National Provider Identifier
1326822784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 109214
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 109214 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rigor Dental Corporation | Current | Accepting new patients | |
| Prieto Dental Corporation | Current | 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.
-
- General Practice Dentistry
- Clovis, CA
- NPI 1235778002
-
- General Practice Dentistry
- Clovis, CA
- NPI 1720611486
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.