Organization Active NPI

Miller Skinner and Dastrup Dental and Orthodontics Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Merced, CA
National Provider Identifier
1871408351
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Jeremy Skinner, DDSNPI 1164749933
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.