NPIMap

Organization Active NPI

Miller and Skinner Dental Group Corporation of North Merced

  • Dental Clinic/Center
  • Merced, CA
National Provider Identifier
1336798651
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MILLER AND SKINNER DENTAL GROUP CORPORATION OF NORTH MERCED
Practice address
3071 College Green Dr Ste C
Merced, CA 95348-3204
Phone
(209) 722-3961
NPI assigned
Sep 9, 2019
Last updated
Sep 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Authorized official

Name
Nathan Miller, DDSNPI 1346536596
Title
Owner
Phone
(480) 452-3022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3071 College Green Dr Ste C
Merced, CA 95348-3204

Mailing address

530 W 21St St Ste B
Merced, CA 95340-3719

National Provider Directory

National Provider Directory
Tax ID family
Miller and Skinner Dental Group Corporation of North Merced2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3071 College Green Dr
Ste C
Merced, CA 95348
Phone (209) 722-3961

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1336798651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W 21ST ST STE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953403719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 COLLEGE GREEN DR STE C",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483204",
            "telephone_number": "209-722-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER AND SKINNER DENTAL GROUP CORPORATION OF NORTH MERCED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-452-3022",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.