Individual provider Active NPI

Alina Maria Miller, DDS

  • Dentist
  • Spring, TX
National Provider Identifier
1396372736
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36952 Issued in TX
Practice address
21301 Kuykendahl Rd Ste D
Spring, TX 77379-2614
Phone
(281) 205-0948
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2020041789 MO
Dentist 122300000X 36952 TX Primary

Addresses

Primary practice location

21301 Kuykendahl Rd Ste D
Spring, TX 77379-2614

Mailing address

22040 Robins Rd
Hockley, TX 77447-8791
Phone (559) 916-9520

Other practice location 1

10833 Le Conte Ave # Ao-156B
Los Angeles, CA 90095-3075
Phone (310) 825-6510

Other practice location 2

1205 NE Coronado Dr
Blue Springs, MO 64014-2928
Phone (816) 228-4090

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

LicenseStateTypeSpecialty
36952TXMDPsychologist
2020041789MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of UCLA Maxillofacial Prosthodontics PastSince Mar 1, 2020 Accepting new patients
Alex Sharifian DDS Blue Springs Dentistry PC General Practice PastSince May 1, 2021 Accepting new patients
Regents Univ of Calif Los Angeles PastSince Mar 1, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1396372736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22040 ROBINS RD",
            "city": "HOCKLEY",
            "state": "TX",
            "postal_code": "774478791",
            "telephone_number": "559-916-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21301 KUYKENDAHL RD STE D",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792614",
            "telephone_number": "281-205-0948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10833 Le Conte Ave # Ao-156B",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900953075",
            "country_code": "US",
            "telephone_number": "310-825-6510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1205 NE Coronado Dr",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640142928",
            "country_code": "US",
            "telephone_number": "816-228-4090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ALINA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2020041789",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "36952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.