Organization Active NPI

Miller Skinner and Dastrup Dental Corporation of Madera

Doing business as Precision Family Dentistry of Madera

  • General Practice Dentistry
  • Madera, CA
National Provider Identifier
1386245462
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MILLER SKINNER AND DASTRUP DENTAL CORPORATION OF MADERA
Doing business as
Precision Family Dentistry of Madera
Practice address
118 N a St
Madera, CA 93638-3210
Phone
(559) 674-5428
NPI assigned
Nov 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Authorized official

Name
Nathan William Miller, DDSNPI 1346536596
Title
Owner
Phone
(480) 452-3022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

118 N a St
Madera, CA 93638-3210

Mailing address

552 W 26TH St
Merced, CA 95340-2837
Phone (480) 452-3022

Other names 1

  • Precision Family Dentistry of Madera Doing business as

National Provider Directory

National Provider Directory

Locations

118 N A St
Madera, CA 93638
Phone (559) 674-5428

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1386245462",
    "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": "118 N A ST",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936383210",
            "telephone_number": "559-674-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER SKINNER AND DASTRUP DENTAL CORPORATION OF MADERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "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_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Family Dentistry of Madera",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.