Organization Active NPI

Shelly Milera, DDS, Inc

  • Dentist
  • Elk Grove, CA
National Provider Identifier
1912332016
Registry record updated Sep 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55902 Issued in CA
Legal business name
SHELLY MILERA, DDS, INC
Practice address
9230 Bruceville Rd Ste 3
Elk Grove, CA 95758-5996
Phone
(916) 538-9446
NPI assigned
Sep 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2013

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

Authorized official

Name
Dr. Shelly A Milera, D.M.D
Title
President
Phone
(916) 538-9446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 55902 CA Primary

Addresses

Primary practice location

9230 Bruceville Rd Ste 3
Elk Grove, CA 95758-5996

Mailing address

9230 Bruceville Rd Ste 3
Elk Grove, CA 95758-5996
Phone (916) 538-9446

National Provider Directory

National Provider Directory

Locations

9230 Bruceville Rd
Ste 3
Elk Grove, CA 95758
Phone (916) 538-9446

NPI Registry JSON

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

{
    "created_epoch": "1378598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378598400000",
    "number": "1912332016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9230 BRUCEVILLE RD STE 3",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585996",
            "telephone_number": "916-538-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9230 BRUCEVILLE RD STE 3",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585996",
            "telephone_number": "916-538-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLY MILERA, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-08",
        "last_updated": "2013-09-08",
        "status": "A",
        "authorized_official_last_name": "MILERA",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-538-9446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "55902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2013; 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.