Active NPI
David Kirk Miller, PHD
- Clinical Psychologist
- Wichita, KS
National Provider Identifier
1013975473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 634
- Practice address
- 833 N Waco
Suite 200
Wichita, KS 67203-3939 - Phone
- (316) 263-2351
- Fax
- (316) 263-3685
- NPI assigned
- May 3, 2006
- Last updated
- May 6, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 634 | KS | Primary |
Addresses
Primary practice location
833 N Waco
Suite 200
Wichita, KS 67203-3939
Mailing address
833 N Waco
Suite 200
Wichita, KS 67203-3939
Phone (316) 263-2351
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013316 | Other | KS | BCBS |
| 100240980B | Medicaid | KS |
Other names 1
- Dana Kirk Miller
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)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities, Inc. | Past | Accepting new patients |
Interoperability endpoints
- david.miller@khindirect.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1013975473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 N WACO",
"address_2": "SUITE 200",
"city": "WICHITA",
"state": "KS",
"postal_code": "672033939",
"telephone_number": "316-263-2351",
"fax_number": "316-263-3685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 N WACO",
"address_2": "SUITE 200",
"city": "WICHITA",
"state": "KS",
"postal_code": "672033939",
"telephone_number": "316-263-2351",
"fax_number": "316-263-3685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DAVID",
"middle_name": "KIRK",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "634",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "013316",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100240980B",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DANA",
"last_name": "MILLER",
"middle_name": "KIRK",
"credential": "PHD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.