NPIMap

Organization Active NPI

Miller & Henriod Dental Partnership

  • Periodontics
  • Pasadena, CA
National Provider Identifier
1689946980
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
21921 Issued in CA
Legal business name
MILLER & HENRIOD DENTAL PARTNERSHIP
Practice address
72 N Hill Ave
Pasadena, CA 91106-1905
Phone
(626) 796-5386
NPI assigned
Feb 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Authorized official

Name
Dr. Ronald Wade Miller, DDS
Title
Owner
Phone
(626) 796-5386

Specialties & licenses 1

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

Addresses

Primary practice location

72 N Hill Ave
Pasadena, CA 91106-1905

Mailing address

72 N Hill Ave
Pasadena, CA 91106-1905
Phone (626) 796-5386

National Provider Directory

National Provider Directory
Tax ID family
Miller Henriod Dental Partnership2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1689946980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 N HILL AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061905",
            "telephone_number": "626-796-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 N HILL AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061905",
            "telephone_number": "626-796-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER & HENRIOD DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-796-5386",
        "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 Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.