Individual provider Active NPI

Shawn Lawrence Miller, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Orange, CA
National Provider Identifier
1922203967
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
55636 Issued in CA
Practice address
1110 E Chapman Ave
Suite 205
Orange, CA 92866-2139
Phone
(714) 639-1061
Fax
(714) 639-3184
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 55636 CA Primary

Addresses

Primary practice location

1110 E Chapman Ave
Suite 205
Orange, CA 92866-2139

Mailing address

1110 E Chapman Ave
Suite 205
Orange, CA 92866-2139
Phone (714) 639-1061

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shawn L. Miller, DMD, Inc. Orthodontics and Dentofacial Orthopedics CurrentSince Mar 30, 2025 Accepting new patients

Locations

1110 E Chapman Ave
Ste 205
Orange, CA 92866
Phone (714) 639-1061

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1922203967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E CHAPMAN AVE",
            "address_2": "SUITE 205",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662139",
            "telephone_number": "714-639-1061",
            "fax_number": "714-639-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E CHAPMAN AVE",
            "address_2": "SUITE 205",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662139",
            "telephone_number": "714-639-1061",
            "fax_number": "714-639-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHAWN",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "55636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.