Active NPI
Mylea Wilson Hunter, DDS
- Dentist
- Newport Beach, CA
National Provider Identifier
1972176238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 105691
- Practice address
- 9228 Residencia
Newport Beach, CA 92660-9066 - Phone
- (760) 391-3342
- NPI assigned
- Jul 22, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 105691 | CA | Primary |
Addresses
Primary practice location
9228 Residencia
Newport Beach, CA 92660-9066
Mailing address
700 E Ocean Blvd Unit 2102
Long Beach, CA 90802-5038
Phone (760) 391-3342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105691 | Other | CA | DENTAL BOARD OF CALIFORNIA |
Other names 1
- Dr. Mylea Michele Wilson
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 |
|---|---|---|---|
| 105691 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1972176238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E OCEAN BLVD UNIT 2102",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908025038",
"telephone_number": "760-391-3342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9228 RESIDENCIA",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926609066",
"telephone_number": "760-391-3342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER",
"first_name": "MYLEA",
"middle_name": "WILSON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-22",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "105691",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL BOARD OF CALIFORNIA",
"identifier": "105691",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MYLEA",
"last_name": "WILSON",
"middle_name": "MICHELE",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Newport Beach, CA
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- Hailey Danielle Tweter Hunter
- Michael Douglas Hunter, M.D.
- Neala J Hunter, M.D.
- Huntington Beach Internal Medicine Group Inc
- Huntington Reproductive Center Medical Group, a Medical Corporation
- Jerry Hurtado, MS
- Sharley Hurwitz Rasch
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.