NPIMap

Organization Active NPI

A. Simpson Miller Dental Corporation

  • General Practice Dentistry
  • La Jolla, CA
National Provider Identifier
1962892265
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58453 Issued in CA
Legal business name
A. SIMPSON MILLER DENTAL CORPORATION
Practice address
888 Prospect St
Suite 200
La Jolla, CA 92037-4260
Phone
(858) 263-2763
NPI assigned
Jan 26, 2015
Last updated
Jan 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Dr. Angela Simpson Miller, D.D.S.NPI 1437124526
Title
President
Phone
(858) 263-2763

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 58453 CA Primary

Addresses

Primary practice location

888 Prospect St
Suite 200
La Jolla, CA 92037-4260

Mailing address

888 Prospect St
Suite 200
La Jolla, CA 92037-4260
Phone (858) 263-2763

National Provider Directory

National Provider Directory

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": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1962892265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 PROSPECT ST",
            "address_2": "SUITE 200",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374260",
            "telephone_number": "858-263-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 PROSPECT ST",
            "address_2": "SUITE 200",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374260",
            "telephone_number": "858-263-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. SIMPSON MILLER DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "SIMPSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-263-2763",
        "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": "58453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.