Individual provider Active NPI

Melissa Miller, MS, CCC-A

  • Audiologist
  • Surprise, AZ
National Provider Identifier
1053928853
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
14877 W Bell Rd Ste 101
Surprise, AZ 85374-7610
Phone
(623) 234-4640
Fax
(623) 234-4642
NPI assigned
Sep 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X DA4746 AZ
Audiologist 231H00000X Primary

Addresses

Primary practice location

14877 W Bell Rd Ste 101
Surprise, AZ 85374-7610

Mailing address

14877 W Bell Rd Ste 101
Surprise, AZ 85374-7610
Phone (623) 234-4640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230815004153 AZ Practitioner - Qualified Audiologist 7416319900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dancynmms PLLCGroup PAC ID 5890127179, 6 clinicians

Practice addresses (Care Compare)

5750 W Thunderbird Rd
Suite F600
Glendale, AZ 85306-4667
Phone (602) 863-4203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DA4746AZMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Dancynmms PLLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

5750 W Thunderbird Rd
Ste F600
Glendale, AZ 85306
Phone (602) 978-5900

3090 N Litchfield Rd
Ste 110
Goodyear, AZ 85395
Phone (623) 248-3188

14814 N Del Webb Blvd
Sun City, AZ 85351
Phone (623) 825-0999

12361 W Bola Dr
Ste 108
Surprise, AZ 85378
Phone (623) 745-0828

14877 W Bell Rd
Ste 101
Surprise, AZ 85374
Phone (623) 207-7492

14973 W Bell Rd
Ste 150
Surprise, AZ 85374
Phone (623) 440-7955

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1053928853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14877 W BELL RD STE 101",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747610",
            "telephone_number": "623-234-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14877 W BELL RD STE 101",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747610",
            "telephone_number": "623-234-4640",
            "fax_number": "623-234-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AZ",
            "license": "DA4746",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.