Active NPI
Dell Melton Miller, CADCII
- Addiction (Substance Use Disorder) Counselor
- McMinnville, OR
National Provider Identifier
1245573054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 99-R-15
- Practice address
- 410 NE 4TH St
Suite B
McMinnville, OR 97128-4621 - Phone
- (503) 474-2024
- Fax
- (503) 474-4454
- NPI assigned
- Mar 29, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 99-R-15 | OR | Primary |
Addresses
Primary practice location
410 NE 4TH St
Suite B
McMinnville, OR 97128-4621
Mailing address
PO Box 1579
McMinnville, OR 97128-1579
Phone (503) 474-2024
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165726 | Medicaid | OR |
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 |
|---|---|---|---|
| 99-R-15 | OR | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364515200000",
"number": "1245573054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1579",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971281579",
"telephone_number": "503-474-2024",
"fax_number": "503-474-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 NE 4TH ST",
"address_2": "SUITE B",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971284621",
"telephone_number": "503-474-2024",
"fax_number": "503-474-4454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DELL",
"middle_name": "MELTON",
"name_prefix": "Mr.",
"credential": "CADCII",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-29",
"last_updated": "2013-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "99-R-15",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165726",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.