Miller Skinner and Dastrup Dental Corporation of Modesto

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MILLER SKINNER AND DASTRUP DENTAL CORPORATION OF MODESTO

Practice address

1317 Oakdale Rd Ste 220
Modesto, CA 95355-3362

Phone

(480) 452-3022

NPI assigned

Sep 8, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Nathan William Miller, DDSNPI 1346536596

Title

Owner

Phone

(480) 452-3022

Specialties & licenses 1

Addresses

Other names 1

• Precision Family Dentistry of Modesto Doing business as

Locations

Practitioners 1

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

• Nathan William Miller, D.D.S.

  • Dentist
  • Merced, CA
  • NPI 1346536596
  NPD Authorized official

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1346919933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 W 26TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402837",
            "telephone_number": "480-452-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 OAKDALE RD STE 220",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553362",
            "telephone_number": "480-452-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER SKINNER AND DASTRUP DENTAL CORPORATION OF MODESTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-452-3022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Family Dentistry of Modesto",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ahryanna Miles
• Ke Araha Deshaney Miles
• Yuleysi Millan Zamora
• Pedro Millan
• Susana Angelica Millan
• Brandi Miller
• Bryn Elizabeth Miller, R.D.
• Brynda Miller
• Cecilia Miller
• Christina Miller

• Dental Clinic/Center in Modesto, CA
• Providers in Modesto, 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 8, 2021; 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.