Active NPI
Dolores May Miller
- Orthotic Fitter
- Sierra Vista, AZ
National Provider Identifier
1083834154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- License
- 02029087
- Practice address
- 3512 Quail Run Dr
Sierra Vista, AZ 85635-3550 - Phone
- (520) 459-0170
- Fax
- (520) 459-1241
- NPI assigned
- Apr 30, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | 02029087 | AZ | Primary |
Addresses
Primary practice location
3512 Quail Run Dr
Sierra Vista, AZ 85635-3550
Mailing address
3512 Quail Run Dr
Sierra Vista, AZ 85635-3550
Phone (520) 459-0170
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02029087 | AZ | MD | Orthotic Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dolores M. Miller | Past | Accepting new patients |
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": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1083834154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3512 QUAIL RUN DR",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856353550",
"telephone_number": "520-459-0170",
"fax_number": "520-459-1241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3512 QUAIL RUN DR",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856353550",
"telephone_number": "520-459-0170",
"fax_number": "520-459-1241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DOLORES",
"middle_name": "MAY",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "AZ",
"license": "02029087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.