Individual provider Active NPI

Kevin N Miller, M.D.

  • Ophthalmology Physician
  • Las Vegas, NV
National Provider Identifier
1346322864
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
5700 Issued in NV
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

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1346322864MedicaidNV

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

LicenseStateTypeSpecialty
5700NVMDOphthalmology 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.

Verify at the official NPI Registry.