Active NPI
Kevin N Miller, M.D.
- Ophthalmology Physician
- Las Vegas, NV
National Provider Identifier
1346322864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 5700
- Practice address
- 3575 Pecos McLeod
Las Vegas, NV 89121-3803 - Phone
- (702) 731-2088
- Fax
- (702) 734-7836
- NPI assigned
- Oct 20, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 5700 | NV | Primary |
Addresses
Primary practice location
3575 Pecos McLeod
Las Vegas, NV 89121-3803
Mailing address
50 S Stephanie St Ste 101
Henderson, NV 89012-5731
Phone (702) 202-4776
Other practice location 1
2100 N Rampart Blvd
Las Vegas, NV 89128-7639
Phone (702) 731-2088
Other practice location 2
2475 W Horizon Ridge Pkwy Ste 120
Henderson, NV 89052-5946
Phone (702) 731-2088
Other practice location 3
9100 W Post Rd
Las Vegas, NV 89148-2418
Phone (702) 731-2088
Other practice location 4
6850 N Durango Dr Ste 404
Las Vegas, NV 89149-4598
Phone (702) 731-2088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346322864 | Medicaid | NV |
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 |
|---|---|---|---|
| 5700 | NV | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617321600000",
"number": "1346322864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 S STEPHANIE ST STE 101",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890125731",
"telephone_number": "702-202-4776",
"fax_number": "702-202-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3575 PECOS MCLEOD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891213803",
"telephone_number": "702-731-2088",
"fax_number": "702-734-7836"
}
],
"practiceLocations": [
{
"address_1": "2100 N Rampart Blvd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891287639",
"country_code": "US",
"telephone_number": "702-731-2088",
"fax_number": "702-734-7836",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2475 W Horizon Ridge Pkwy Ste 120",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890525946",
"country_code": "US",
"telephone_number": "702-731-2088",
"fax_number": "702-734-7836",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9100 W Post Rd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891482418",
"country_code": "US",
"telephone_number": "702-731-2088",
"fax_number": "702-734-7836",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6850 N Durango Dr Ste 404",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891494598",
"country_code": "US",
"telephone_number": "702-731-2088",
"fax_number": "702-734-7836",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "KEVIN",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2021-04-02",
"certification_date": "2021-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NV",
"license": "5700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346322864",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.