Individual provider Active NPI

David Christopher Miller, DO, MPH

  • Family Medicine Physician
  • Wright-Patterson Afb, OH
National Provider Identifier
1215977921
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.013083 Issued in OH
Practice address
88 MDG
4881 Sugar Maple Drive
Wright-Patterson Afb, OH 45433-5529
Phone
(937) 257-3103
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME1961 ME
Family Medicine Physician 207Q00000X 34.013083 OH Primary

Addresses

Primary practice location

88 MDG
4881 Sugar Maple Drive
Wright-Patterson Afb, OH 45433-5529

Mailing address

88 MDG
4881 Sugar Maple Drive
Wright-Patterson Afb, OH 45433-5529
Phone (937) 257-3103

Other practice location 1

307 Boatner Rd
Ste #114
Eglin AFB, FL 32542-1391
Phone (850) 883-9639

Other practice location 2

2261 Philadelphia Dr
Dayton, OH 45406-1814
Phone (937) 734-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20180104001251 OH Practitioner - Family Practice 1658630256 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
ME1961MEMDFamily Medicine Physician
34.013083OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Five Rivers Health Centers Family Medicine CurrentSince Jun 1, 2021 Accepting new patients
Five Rivers Health Centers CurrentSince Jun 1, 2021 Accepting new patients
Five Rivers Health Centers Family Medicine Current Accepting new patients
Wright State Physicians Inc Past Accepting new patients

Locations

721 Miami Chapel Rd
Dayton, OH 45417
Phone (937) 281-5970

2261 Philadelphia Dr
Dayton, OH 45406
Phone (937) 281-6800

Organizations & group practices 5

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1215977921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MDG",
            "address_2": "4881 SUGAR MAPLE DRIVE",
            "city": "WRIGHT-PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-257-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MDG",
            "address_2": "4881 SUGAR MAPLE DRIVE",
            "city": "WRIGHT-PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-257-3103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Boatner Rd",
            "address_2": "Ste #114",
            "address_purpose": "LOCATION",
            "city": "Eglin AFB",
            "state": "FL",
            "postal_code": "325421391",
            "country_code": "US",
            "telephone_number": "850-883-9639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2261 Philadelphia Dr",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454061814",
            "country_code": "US",
            "telephone_number": "937-734-4141",
            "fax_number": "937-245-7999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DAVID",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DO, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "ME1961",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.013083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wright-Patterson Afb, OH

Sources for this page

Verify at the official NPI Registry.