Organization Active NPI

Khanda a Miller , a Professional Corp

  • General Practice Dentistry
  • San Marcos, CA
National Provider Identifier
1609373265
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KHANDA A MILLER , A PROFESSIONAL CORP
Practice address
333 S Rancho Santa Fe Rd
San Marcos, CA 92078-2303
Phone
(760) 733-3693
NPI assigned
Apr 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Authorized official

Name
Khanda Miller
Title
President
Phone
(760) 744-3693

Specialties & licenses 1

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

Addresses

Primary practice location

333 S Rancho Santa Fe Rd
San Marcos, CA 92078-2303

Mailing address

333 S Rancho Santa Fe Rd
San Marcos, CA 92078-2303

National Provider Directory

National Provider Directory

Locations

333 S Rancho Santa Fe Rd
San Marcos, CA 92078
Phone (760) 733-3693

Practitioners & affiliated clinicians

Practitioners 1

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": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1609373265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S RANCHO SANTA FE RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S RANCHO SANTA FE RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782303",
            "telephone_number": "760-733-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHANDA A MILLER , A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KHANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-744-3693"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.