Active NPI
Robert Henry Miner, DDS
- Oral and Maxillofacial Surgery (Dentist)
- San Diego, CA
National Provider Identifier
1801125794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 60272
- Practice address
- 12686 Picrus St
San Diego, CA 92129-4121 - Phone
- (760) 420-6775
- NPI assigned
- Dec 24, 2009
- Last updated
- Sep 9, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 60272 | CA | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 22401 | TX | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DE60115059 | WA |
Addresses
Primary practice location
12686 Picrus St
San Diego, CA 92129-4121
Mailing address
12686 Picrus St
San Diego, CA 92129-4121
Phone (760) 420-6775
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60272 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 22401 | TX | MD | Oral and Maxillofacial Surgery (Dentist) |
| DE60115059 | WA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert H. Miner DDS, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral and Maxillofacial Surgery Clinic/Center
- San Diego, CA
- NPI 1801221882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378684800000",
"number": "1801125794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12686 PICRUS ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921294121",
"telephone_number": "760-420-6775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12686 PICRUS ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921294121",
"telephone_number": "760-420-6775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINER",
"first_name": "ROBERT",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-24",
"last_updated": "2013-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "60272",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "22401",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "WA",
"license": "DE60115059",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.