NPIMap

Organization Active NPI

Stanley Miller DDS, Professional Corporation

Doing business as Dental Works

  • General Practice Dentistry
  • Banning, CA
National Provider Identifier
1942351606
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43640 Issued in CA
Legal business name
STANLEY MILLER DDS, PROFESSIONAL CORPORATION
Doing business as
Dental Works
Practice address
6350 W Ramsey St
Suite #a
Banning, CA 92220-3062
Phone
(951) 769-0466
Fax
(951) 769-3606
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Dr. Stanley Kelly Miller, D.D.S.NPI 1245501741
Title
President
Phone
(951) 769-0466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 43640 CA Primary

Addresses

Primary practice location

6350 W Ramsey St
Suite #a
Banning, CA 92220-3062

Mailing address

6350 W Ramsey St
Suite #a
Banning, CA 92220-3062
Phone (951) 769-0466

Other identifiers 2

IdentifierTypeStateIssuer
G9167801MedicaidCA
000043640CAOtherCADELTA DENTAL

Other names 1

  • Dental Works Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1942351606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 W RAMSEY ST",
            "address_2": "SUITE #A",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203062",
            "telephone_number": "951-769-0466",
            "fax_number": "951-769-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 W RAMSEY ST",
            "address_2": "SUITE #A",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203062",
            "telephone_number": "951-769-0466",
            "fax_number": "951-769-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY MILLER DDS, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-769-0466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9167801",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "000043640CA",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Works",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Banning, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.