Individual provider Active NPI

Nathan William Miller, D.D.S.

  • Dentist
  • Merced, CA
National Provider Identifier
1346536596
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61768 Issued in CA
Practice address
560 W 26TH St
Merced, CA 95340-2837
Phone
(209) 723-5405
NPI assigned
Jun 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D008237 AZ
Dentist 122300000X 61768 CA Primary

Addresses

Primary practice location

560 W 26TH St
Merced, CA 95340-2837

Mailing address

4062 St Tropez CT
Merced, CA 95348-9539
Phone (480) 452-3022

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
D008237AZMDDentist
61768CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Miller Skinner and Dastrup Dental Corporation of Madera General Practice Current Accepting new patients
Miller Skinner and Dastrup Dental Corporation of Chowchilla Current Accepting new patients
Miller Skinner and Dastrup Dental Corporation of Modesto Current Accepting new patients
Miller and Skinner Dental Corporation General Practice Past Accepting new patients

Organizations & group practices 4

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": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1346536596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4062 ST TROPEZ CT",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953489539",
            "telephone_number": "480-452-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W 26TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402837",
            "telephone_number": "209-723-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NATHAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008237",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61768",
            "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 Nov 21, 2012; 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.