Jason Miller

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

3774 S Sunnyvale Dr
West Valley City, UT 84120-3142

Phone

(918) 924-8160

NPI assigned

Oct 2, 2017

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 17, 2020.

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1063922201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3774 S SUNNYVALE DR",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841203142",
            "telephone_number": "918-924-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3774 S SUNNYVALE DR",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841203142",
            "telephone_number": "918-924-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JASON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midtown Investments LLC
• Jeffrey G Miles, M.D.
• Grace Michelle Miller-Olsen
• Charles Wesley Miller, M.D.
• David D Miller, CRNA
• Sumiaya Mohammad, CMHC
• Harold T Moleni
• Lars Mahonri Moleni
• Liahona Ta'Ape Moleni
• Blake Molis, DC

• All providers in West Valley City, UT
• Community Health Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.