Individual provider Active NPI

Meagan Miller, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Loma Linda, CA
National Provider Identifier
1356721302
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
64991 Issued in CA
Practice address
11092 Anderson St Ste 3306
Loma Linda, CA 92350-1706
Phone
(909) 558-4671
NPI assigned
Jun 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 64991 CA Primary

Addresses

Primary practice location

11092 Anderson St Ste 3306
Loma Linda, CA 92350-1706

Mailing address

464 Sonora Cir
Redlands, CA 92373-8510
Phone (214) 755-8518

Other practice location 1

720 Brookside Ave Ste 100
Redlands, CA 92373-5189
Phone (909) 488-0222

Other practice location 2

2097 Compton Ave Ste 104
Corona, CA 92881-7289
Phone (951) 273-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260304001202 CA Practitioner - Oral Surgery 5193207660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Loma Linda University School of Dentistry, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11092 Anderson St
Loma Linda, CA 92350-1706

464 Sonora Cir
Redlands, CA 92373-8510

File Number
Suite 54701
Los Angeles, CA 90074-4701

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64991CAMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Noura Fadel DDS Inc Oral and Maxillofacial Surgery CurrentSince Jun 1, 2022 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jan 19, 2026 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jan 19, 2026 Accepting new patients
George K Nguyen DDS, PC PastSince Nov 1, 2020 Accepting new patients

Locations

720 Brookside Ave
Ste 100
Redlands, CA 92373
Phone (585) 770-0592

Interoperability endpoints

  • Direct secure messaging: mmiller94877@direct.llu.edu

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1356721302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 SONORA CIR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738510",
            "telephone_number": "214-755-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11092 ANDERSON ST STE 3306",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923501706",
            "telephone_number": "909-558-4671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Brookside Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923735189",
            "country_code": "US",
            "telephone_number": "909-488-0222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2097 Compton Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928817289",
            "country_code": "US",
            "telephone_number": "951-273-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MEAGAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "64991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.