NPIMap

Organization Active NPI

Miles Madison, a Professional Dental Corporation

Doing business as Dental Specialty Care of Lancaster

  • Dentist
  • Lancaster, CA
National Provider Identifier
1386815058
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37446 Issued in CA
Legal business name
MILES MADISON, A PROFESSIONAL DENTAL CORPORATION
Doing business as
Dental Specialty Care of Lancaster
Practice address
44244 Division St
Lancaster, CA 93535-3525
Phone
(661) 942-6200
Fax
(661) 940-8588
NPI assigned
Mar 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Dr. Miles Madison, DDSNPI 1477687580
Title
President
Phone
(661) 942-6200

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 37446 CA Primary

Addresses

Primary practice location

44244 Division St
Lancaster, CA 93535-3525

Mailing address

44244 Division St
Lancaster, CA 93535-3525
Phone (661) 942-6200

Other names 1

  • Dental Specialty Care of Lancaster Doing business as

National Provider Directory

National Provider Directory

Locations

44244 Division St
Lancaster, CA 93535
Phone (240) 751-3031

Practitioners & affiliated clinicians

Practitioners 3

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": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1386815058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44244 DIVISION ST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935353525",
            "telephone_number": "661-942-6200",
            "fax_number": "661-940-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44244 DIVISION ST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935353525",
            "telephone_number": "661-942-6200",
            "fax_number": "661-940-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES MADISON, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "MILES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-942-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "37446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Specialty Care of Lancaster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.