Organization Active NPI

David E Miller MD PC

  • Specialist
  • Louisville, CO
National Provider Identifier
1356519383
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
43394 Issued in CO
Legal business name
DAVID E MILLER MD PC
Practice address
2255 S 88TH St
Louisville, CO 80027-9716
Phone
(303) 666-2095
Fax
(303) 666-1801
NPI assigned
Feb 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Dr. David E Miller, MDNPI 1013916972
Title
President
Phone
(303) 666-2095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 43394 CO Primary

Addresses

Primary practice location

2255 S 88TH St
Louisville, CO 80027-9716

Mailing address

2255 S 88TH St
Louisville, CO 80027-9716
Phone (303) 666-2095

Other identifiers 1

IdentifierTypeStateIssuer
C805047OtherCOMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060403000587 CO Part B Supplier - Clinic/Group Practice 1052329067 Receives reassigned benefits from 1 practitioner
Practice locations: Superior, CO

National Provider Directory

National Provider Directory

Locations

2255 S 88th St
Ste 1116
Louisville, CO 80027
Phone 30366620952094

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1356519383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 S 88TH ST",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279716",
            "telephone_number": "303-666-2095",
            "fax_number": "303-666-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 S 88TH ST",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279716",
            "telephone_number": "303-666-2095",
            "fax_number": "303-666-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E MILLER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-666-2095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "43394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C805047",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.