S David Miller, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

74380 Issued in MA

Practice address

49 State Rd
Watuppa Building Suite 203
North Dartmouth, MA 02747-3300

Phone

(508) 994-0120

Fax

(508) 996-9636

NPI assigned

Mar 18, 2006

Last updated

Jun 5, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Northeast Medical Research Associates, Inc.

  • Research Study Specialist
  • North Dartmouth, MA
  • NPI 1497023709
  Authorized official Same address or phone

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1063471126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 STATE RD",
            "address_2": "WATUPPA BUILDING SUITE 203",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027473300",
            "telephone_number": "508-994-0120",
            "fax_number": "508-996-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 STATE RD",
            "address_2": "WATUPPA BUILDING SUITE 203",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027473300",
            "telephone_number": "508-994-0120",
            "fax_number": "508-996-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "S DAVID",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": "MA",
            "license": "74380",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "74380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078299",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Curtis J. Mello, MD
• Tiffany Menard, LADC I
• Kelly Messier, NP-C
• Michael J Corrigan, MD PC
• Judith Miesner, D.O.
• Joseph Mills, DMD
• Linda Moffatt, PT
• John Joseph Mullen III, ATC
• Michael Murgo, PHD
• MW Wellness XII, LLC

• Allergy & Immunology Physician in North Dartmouth, MA
• Providers in North Dartmouth, MA by specialty
• Allergy & Immunology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.