Miller and Skinner Dental Group Corporation of North Merced

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

Organization subpart

No

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

Authorized official

Name

Nathan Miller, DDS

Title

Owner

Phone

(480) 452-3022

Specialties & licenses 1

Addresses

Tax ID family

Miller Skinner Dental 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.

• Miller Skinner Dental Corporation of North Merced

  • General Practice Dentistry
  • Merced, CA
  • NPI 1376220632
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Lloyd Brink, DDS

  • General Practice Dentistry
  • Merced, CA
  • NPI 1003957358
  NPD (past)

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": []
}

• MG Bachour DDS Inc
• Blanca Stephanie Millan
• Marjorie Millan, FNP
• Tammy M Millard-Rice
• Miller and Skinner Dental Corporation
• Miller Skinner and Dastrup Dental and Orthodontics Corporation
• Miller Skinner Dental Corporation of North Merced
• Kenneth Dean Miller, PA-C
• Martin N Miller, LPT
• Nathan William Miller, D.D.S.

• Dental Clinic/Center in Merced, CA
• Providers in Merced, CA by specialty
• Dental Clinic/Center in California

• 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.