Active NPI
Van Miller, MD PHD
- Pediatric Neurodevelopmental Disabilities Physician
- Plano, TX
National Provider Identifier
1144384868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Neurodevelopmental Disabilities Physician
- License
- H2609
- Practice address
- 1708 Coit Rd
Suite 150
Plano, TX 75075-5024 - Phone
- (972) 769-9000
- Fax
- (972) 769-0035
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X | H2609 | TX | Primary |
Addresses
Primary practice location
1708 Coit Rd
Suite 150
Plano, TX 75075-5024
Mailing address
1708 Coit Rd
Suite 150
Plano, TX 75075-5024
Phone (972) 769-9000
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
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H2609 | TX | MD | Pediatric Neurodevelopmental Disabilities Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1144384868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 COIT RD",
"address_2": "SUITE 150",
"city": "PLANO",
"state": "TX",
"postal_code": "750755024",
"telephone_number": "972-769-9000",
"fax_number": "972-769-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 COIT RD",
"address_2": "SUITE 150",
"city": "PLANO",
"state": "TX",
"postal_code": "750755024",
"telephone_number": "972-769-9000",
"fax_number": "972-769-0035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "VAN",
"name_prefix": "Dr.",
"credential": "MD PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0008X",
"taxonomy_group": "",
"desc": "Pediatrics, Neurodevelopmental Disabilities",
"state": "TX",
"license": "H2609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
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.