Individual provider Active NPI

Daniel Robert Millward, PA-C

  • Physician Assistant
  • Grand Junction, CO
National Provider Identifier
1154652378
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0005561 Issued in CO
Practice address
1060 Orchard Ave Unit N
Grand Junction, CO 81501-2997
Phone
(970) 644-3740
Fax
(970) 644-3763
NPI assigned
Jan 28, 2010
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7570837-1206 UT
Physician Assistant 363A00000X PA.0005561 CO Primary
Medical Physician Assistant 363AM0700X PA.0005561 CO

Addresses

Primary practice location

1060 Orchard Ave Unit N
Grand Junction, CO 81501-2997

Mailing address

PO Box 1727
Grand Junction, CO 81502-1727
Phone (970) 644-3740

Other practice location 1

1060 Orchard Ave Unit O
Grand Junction, CO 81501-2997
Phone (970) 644-3755

Other identifiers 1

IdentifierTypeStateIssuer
9000150398MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220822000196 CO Practitioner - Physician Assistant 9032247515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Group LLCGroup PAC ID 1052612785, 109 clinicians

Practice addresses (Care Compare)

1060 Orchard Ave
Grand Junction, CO 81501-2997
Phone (970) 644-3740

607 28
Grand Junction, CO 81506-6018
Phone (970) 243-3300

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0005561COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Group, LLC CurrentSince Apr 9, 2022 Accepting new patients
Community Medical Group, LLC CurrentSince Apr 9, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 4, 2026 Accepting new patients
Western Medical Associates, P.C. Past Accepting new patients
Utah Navajo Health System, Incorporated Past Accepting new patients
Community Medical Group, LLC Past Accepting new patients
Community Medical Group, LLC Past Accepting new patients

Locations

7700 E Arapahoe Rd
Ste 220
Centennial, CO 80112
Phone (515) 513-4913

101 Jurassic Ave
Unit B
Fruita, CO 81521
Phone (970) 858-6677

2478 Patterson Rd
Ste 27
Grand Junction, CO 81505
Phone (970) 644-4300

731 Iowa Ave
Ste A
Palisade, CO 81526
Phone (970) 644-4050

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/849/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1154652378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1727",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815021727",
            "telephone_number": "970-644-3740",
            "fax_number": "970-644-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 ORCHARD AVE UNIT N",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012997",
            "telephone_number": "970-644-3740",
            "fax_number": "970-644-3763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1060 Orchard Ave Unit O",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815012997",
            "country_code": "US",
            "telephone_number": "970-644-3755",
            "fax_number": "970-644-3764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLWARD",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-28",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "7570837-1206",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005561",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0005561",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000150398",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.