Marlene Alexander Miller, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

55613 Issued in CA

Practice address

18102 Irvine Blvd
Suite #203
Tustin, CA 92780-3402

Phone

(714) 544-5337

Fax

(714) 544-1558

NPI assigned

Feb 4, 2013

Last updated

Feb 4, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Marlene a. Miller, DMD, Inc.

  • Periodontics
  • Tustin, CA
  • NPI 1255537395
  NPD (past) Authorized official

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1366781882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18102 IRVINE BLVD",
            "address_2": "SUITE #203",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803402",
            "telephone_number": "714-544-5337",
            "fax_number": "714-544-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18102 IRVINE BLVD",
            "address_2": "SUITE #203",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803402",
            "telephone_number": "714-544-5337",
            "fax_number": "714-544-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARLENE",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mili Patel DDS Inc (OC Graceful Smiles)
• Karen Millan
• Emily Eileen Miller
• Lindsay Miller, DPT
• Mark P. Miller, D.D.S.
• Sandra Maureen Miller, LMFT
• Amanda Mills, LMFT
• Cherie Lynn Mills, MFT
• Mina Roshankar Chiropractic Inc (Chiropractic and Spine Center)
• Elyse Haruko Minamide, PT, DPT, NCS

• Dentist in Tustin, CA
• Providers in Tustin, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.