Active NPI
Miller Skinner and Dastrup Dental and Orthodontics Corporation
- Orthodontics and Dentofacial Orthopedics Dentistry
- Merced, CA
National Provider Identifier
1871408351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- MILLER SKINNER AND DASTRUP DENTAL AND ORTHODONTICS CORPORATION
- Practice address
- 552 W 26TH St
Merced, CA 95340-2837 - Phone
- (480) 399-3588
- NPI assigned
- Aug 18, 2026
- Last updated
- Aug 18, 2026
- 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
- Jeremy Skinner, DDS
- Title
- Owner
- Phone
- (480) 399-3588
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | NU | Primary |
Addresses
Primary practice location
552 W 26TH St
Merced, CA 95340-2837
Mailing address
552 W 26TH St
Merced, CA 95340-2837
National Provider Directory
National Provider DirectoryLocations
552 W 26th St
Merced, CA 95340
Phone (209) 723-5481
Practitioners & affiliated clinicians
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.
-
- General Practice Dentistry
- Merced, CA
- NPI 1164749933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787011200000",
"number": "1871408351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "552 W 26TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953402837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "552 W 26TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953402837",
"telephone_number": "480-399-3588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLER SKINNER AND DASTRUP DENTAL AND ORTHODONTICS CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-18",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A",
"authorized_official_last_name": "SKINNER",
"authorized_official_first_name": "JEREMY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-399-3588",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merced, CA
- Blanca Stephanie Millan
- Marjorie Millan, FNP
- Tammy M Millard-Rice
- Miller and Skinner Dental Corporation
- Miller and Skinner Dental Group Corporation of North Merced
- Miller Skinner Dental Corporation of North Merced (Precision Family Dentistry of North Merced)
- Kenneth Dean Miller, PA-C
- Martin N Miller, LPT
- Nathan William Miller, D.D.S.
- Samantha Lo-Rein Miller
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.