Active NPI
Duncan Alexander GN Miles, M.D.
- Plastic and Reconstructive Surgery Physician
- Redlands, CA
National Provider Identifier
1265460836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- A073833
- Practice address
- 555 Cajon St
Suite B
Redlands, CA 92373-5980 - Phone
- (909) 509-5900
- Fax
- (909) 509-5922
- NPI assigned
- Jun 30, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | A73833 | CA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | A073833 | CA | Primary |
Addresses
Primary practice location
555 Cajon St
Suite B
Redlands, CA 92373-5980
Mailing address
555 Cajon St
Redlands, CA 92373-5980
Phone (909) 509-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A738330 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73833 | CA | MD | Pharmacist |
| A073833 | CA | MD | Plastic and Reconstructive Surgery Physician |
| A73833 | CA | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404777600000",
"number": "1265460836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 CAJON ST",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735980",
"telephone_number": "909-509-5900",
"fax_number": "909-509-5922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 CAJON ST",
"address_2": "SUITE B",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735980",
"telephone_number": "909-509-5900",
"fax_number": "909-509-5922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "DUNCAN",
"middle_name": "ALEXANDER GN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2014-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CA",
"license": "A73833",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CA",
"license": "A073833",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A738330",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.