Organization Active NPI

Ronald Miller a Professional Dental Corp.

  • Periodontics
  • Rancho Mirage, CA
National Provider Identifier
1457679789
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
21921 Issued in CA
Legal business name
RONALD MILLER A PROFESSIONAL DENTAL CORP.
Practice address
42800 Bob Hope Dr
Ste 208
Rancho Mirage, CA 92270-4437
Phone
(760) 341-3818
NPI assigned
May 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
Dr. Ronald W Miller, DDS
Title
President
Phone
(760) 341-3818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 21921 CA Primary

Addresses

Primary practice location

42800 Bob Hope Dr
Ste 208
Rancho Mirage, CA 92270-4437

Mailing address

42800 Bob Hope Dr
Ste 208
Rancho Mirage, CA 92270-4437
Phone (760) 341-3818

National Provider Directory

National Provider Directory

Locations

42800 Bob Hope Dr
Ste 208
Rancho Mirage, CA 92270
Phone (760) 341-3818

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1457679789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42800 BOB HOPE DR",
            "address_2": "STE 208",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704437",
            "telephone_number": "760-341-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42800 BOB HOPE DR",
            "address_2": "STE 208",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704437",
            "telephone_number": "760-341-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD MILLER A PROFESSIONAL DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-341-3818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "21921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.