Active NPI
Loyal Arlen Miner, DDS
- General Practice Dentistry
- Willows, CA
National Provider Identifier
1881856953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22092
- Practice address
- 207 N Butte St
Willows, CA 95988-2803 - Phone
- (530) 934-4640
- Fax
- (530) 934-2204
- NPI assigned
- Jun 30, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22092 | CA | Primary |
Addresses
Primary practice location
207 N Butte St
Willows, CA 95988-2803
Mailing address
2 Woodstone LN
Chico, CA 95928-7342
Phone (530) 893-4070
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 |
|---|---|---|---|
| 22092 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214784000000",
"number": "1881856953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 WOODSTONE LN",
"city": "CHICO",
"state": "CA",
"postal_code": "959287342",
"telephone_number": "530-893-4070",
"fax_number": "530-893-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 N BUTTE ST",
"city": "WILLOWS",
"state": "CA",
"postal_code": "959882803",
"telephone_number": "530-934-4640",
"fax_number": "530-934-2204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINER",
"first_name": "LOYAL",
"middle_name": "ARLEN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-30",
"last_updated": "2008-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "22092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willows, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.