Pristine Dental Hygiene Practice of Michelle Miller Rdhap Inc

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Legal business name

PRISTINE DENTAL HYGIENE PRACTICE OF MICHELLE MILLER RDHAP INC

Practice address

115 E Hobsonway
Blythe, CA 92225-9222

Phone

(760) 922-5320

NPI assigned

Apr 6, 2021

Last updated

Apr 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Jean Miller, RDHAPNPI 1154717577

Title

Owner/Provider

Phone

(760) 922-5320

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Jean Miller, RDHAP

  • Dental Hygienist
  • Blythe, CA
  • NPI 1154717577
  NPD Authorized official

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1619556602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922260411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E HOBSONWAY",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922259222",
            "telephone_number": "760-922-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE DENTAL HYGIENE PRACTICE OF MICHELLE MILLER RDHAP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "760-922-5320",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDHAP"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley M Powers
• Katie Lynn Powers
• Premier Emergency Physicians of California Medical Group PC
• Premier Health Partners
• Jeffrey William Prestler, PSY.D.
• Dinesh Kumar Ramtel
• Anna Rangel
• Recovery Innovations, Inc.
• Riverside Recovery Resources (Beta Program)
• Elijah Robison

• Dental Hygienist in Blythe, CA
• Providers in Blythe, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.