Millenia Dental Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62383 Issued in CA

Legal business name

MILLENIA DENTAL INC

Doing business as

Millenia Dental

Practice address

1745 Eastlake Pkwy
Suite 102
Chula Vista, CA 91915-2033

Phone

(619) 421-4800

NPI assigned

Feb 4, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Mirza Baig

Title

Operations Manager

Phone

(331) 431-9059

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Millenia Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Halley Rose Flake, DDS

  • Dentist
  • Chula Vista, CA
  • NPI 1215691985
  NPD (past)

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1801286356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 EASTLAKE PKWY",
            "address_2": "SUITE 102",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919152033",
            "telephone_number": "619-421-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 EASTLAKE PKWY",
            "address_2": "SUITE 102",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919152033",
            "telephone_number": "619-421-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENIA DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "BAIG",
        "authorized_official_first_name": "MIRZA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "331-431-9059",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62383",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millenia Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucia Marisela Millan, LCSW
• Patricia Millan, BCBA
• Justin Mel Millard, IDC
• Jodie Millen, R.D.N.
• Maria Millena
• Catherine Steffen Miller, M.A., CCC-SLP
• Craig T Miller, CCP
• Daymion Miller
• Don Edward Miller, PHD
• Matthew Miller

• General Practice Dentistry in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.