Active NPI
F. Lance Miller, M.D.
- Pediatric Adolescent Medicine Physician
- Olathe, KS
National Provider Identifier
1366417453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 0417296
- Practice address
- 824 W Frontier LN
Olathe, KS 66061-7216 - Phone
- (913) 764-7060
- Fax
- (913) 764-8059
- NPI assigned
- Feb 22, 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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 0417296 | KS | Primary |
Addresses
Primary practice location
824 W Frontier LN
Olathe, KS 66061-7216
Mailing address
824 W Frontier LN
Olathe, KS 66061-7216
Phone (913) 764-7060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08032052 | Other | MO | BLUE SHIELD |
| 100145320B | Medicaid | KS |
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 |
|---|---|---|---|
| 0417296 | KS | MD | Pediatric Adolescent Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1366417453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 W FRONTIER LN",
"city": "OLATHE",
"state": "KS",
"postal_code": "660617216",
"telephone_number": "913-764-7060",
"fax_number": "913-764-8059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 W FRONTIER LN",
"city": "OLATHE",
"state": "KS",
"postal_code": "660617216",
"telephone_number": "913-764-7060",
"fax_number": "913-764-8059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "F.",
"middle_name": "LANCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2008-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "KS",
"license": "0417296",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "08032052",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100145320B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.