Active NPI
Michael J Miller, D.M.D.
- Dentist
- Del Mar, CA
National Provider Identifier
1376556753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 44216
- Practice address
- 2775 Via de la Valle
Suite 101
Del Mar, CA 92014-1919 - Phone
- (858) 509-2853
- Fax
- (858) 509-2859
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 44216 | CA | Primary |
Addresses
Primary practice location
2775 Via de la Valle
Suite 101
Del Mar, CA 92014-1919
Mailing address
2775 Via de la Valle
Suite 101
Del Mar, CA 92014-1919
Phone (858) 509-2853
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44216 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1376556753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2775 VIA DE LA VALLE",
"address_2": "SUITE 101",
"city": "DEL MAR",
"state": "CA",
"postal_code": "920141919",
"telephone_number": "858-509-2853",
"fax_number": "858-509-2859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2775 VIA DE LA VALLE",
"address_2": "SUITE 101",
"city": "DEL MAR",
"state": "CA",
"postal_code": "920141919",
"telephone_number": "858-509-2853",
"fax_number": "858-509-2859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "44216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Del Mar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.