Active NPI
Meagan Miller, DDS
- Oral & Maxillofacial Surgery (D.M.D.)
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 64991
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 64991 | CA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Noura Fadel DDS Inc | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| George K Nguyen DDS, PC | Past | Accepting new patients |
Locations
720 Brookside Ave
Ste 100
Redlands, CA 92373
Phone (585) 770-0592
Interoperability endpoints
- 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.
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- NPI 1205009917
-
- Family Medicine Physician
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- NPI 1558788331
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- Obstetrics & Gynecology Physician
- Rancho Cucamonga, CA
- NPI 1568113827
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- Advanced Practice Dental Therapist
- Redlands, CA
- NPI 1679216253
Oral and Maxillofacial Surgery
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Moreno Valley, CA
- NPI 1821159195
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.