Organization Active NPI

Adam R. Miller, M.D., P.a.

  • Ophthalmology Physician
  • Dallas, TX
National Provider Identifier
1386010122
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
P5422 Issued in TX
Legal business name
ADAM R. MILLER, M.D., P.A.
Practice address
7777 Forest LN Ste B424
Dallas, TX 75230-6826
Phone
(972) 566-8200
Fax
(972) 233-0129
NPI assigned
Aug 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Authorized official

Name
Mrs. Letha Taylor Stalls
Title
Office Manager
Phone
(972) 566-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X P5422 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste B424
Dallas, TX 75230-6826

Mailing address

7777 Forest LN Ste B424
Dallas, TX 75230-6826
Phone (972) 566-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20151221000215 TX Part B Supplier - Clinic/Group Practice 4880995620 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX
O20211108000384 TX DME Supplier - Physician - Ophthalmology 4880995620 Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1386010122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE B424",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306826",
            "telephone_number": "972-566-8200",
            "fax_number": "972-233-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE B424",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306826",
            "telephone_number": "972-566-8200",
            "fax_number": "972-233-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM R. MILLER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "STALLS",
        "authorized_official_first_name": "LETHA",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-566-8200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P5422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.