Active NPI
Nicolle Miller, DDS a Professional Dental Corporation
- Dental Clinic/Center
- San Marcos, CA
National Provider Identifier
1861123341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- NICOLLE MILLER, DDS A PROFESSIONAL DENTAL CORPORATION
- Doing business as
- Mission Hills Family Dental
- Practice address
- 197 Woodland Pkwy Ste 100
San Marcos, CA 92069-3020 - Phone
- (760) 585-9598
- NPI assigned
- Jun 23, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicolle Miller, DDS
- Title
- President
- Phone
- (760) 585-9598
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
197 Woodland Pkwy Ste 100
San Marcos, CA 92069-3020
Mailing address
197 Woodland Pkwy Ste 100
San Marcos, CA 92069-3020
Phone (760) 585-9598
Other names 1
- Mission Hills Family Dental
National Provider Directory
National Provider DirectoryLocations
197 Woodland Pkwy
Ste 100
San Marcos, CA 92069
Phone (760) 585-9598
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Pearl Harbor, HI
- NPI 1851370324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655942400000",
"number": "1861123341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 WOODLAND PKWY STE 100",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920693020",
"telephone_number": "760-585-9598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 WOODLAND PKWY STE 100",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920693020",
"telephone_number": "760-585-9598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICOLLE MILLER, DDS A PROFESSIONAL DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-23",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "NICOLLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-585-9598",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mission Hills Family Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.