D Larry Miller M D a Professional Corp

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

G206710 Issued in CA

Legal business name

D LARRY MILLER M D A PROFESSIONAL CORP

Practice address

6585 Clark Rd Ste 440
Paradise, CA 95969-3500

Phone

(530) 877-4465

NPI assigned

Jun 30, 2010

Last updated

Feb 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. D Larry Miller, M.D.

Title

Owner

Phone

(530) 877-4465

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Gregory Israel Smiley, PA

  • Physician Assistant
  • White City, OR
  • NPI 1992871503
  NPD (past)

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1033420583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6585 CLARK RD STE 440",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959693500",
            "telephone_number": "530-877-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6585 CLARK RD STE 440",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959693500",
            "telephone_number": "530-877-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D LARRY MILLER M D A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "D",
        "authorized_official_middle_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-877-4465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "G206710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G206710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelley Dawn Cuevas, CPHT
• Brock Cummings, MD
• Natalie Lavonne Curry, FNP-C
• Jennifer Ann Curtis, ARNP
• Ty Curtis, MD
• Carly Allyson D'Ewart
• David E Damazo, M.D.
• Rebekah Damazo, RN, MSN, CPNP
• Elizabeth Ann Daniels, RD
• Amy Datema

• Health Maintenance Organization in Paradise, CA
• Providers in Paradise, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.