Dwight Larry Miller, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G20671 Issued in CA

Practice address

6585 Clark Rd
Suite 440
Paradise, CA 95969-3500

Phone

(530) 877-4465

Fax

(530) 877-1034

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dwight Larry Miller Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1386645539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6585 CLARK RD",
            "address_2": "SUITE 440",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959693500",
            "telephone_number": "530-877-4465",
            "fax_number": "530-877-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6585 CLARK RD",
            "address_2": "SUITE 440",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959693500",
            "telephone_number": "530-877-4465",
            "fax_number": "530-877-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DWIGHT",
        "middle_name": "LARRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G20671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G206710",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "942232162",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "942232162",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DWIGHT",
            "last_name": "MILLER",
            "middle_name": "LARRY",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kimberly Messina
• Matthew James Messina
• Helena Edith Meyer, SBHC
• Alejandra Meza
• Michael a G Carden MD Inc
• Robert Duane Moores, DDS
• Malgorzata Mordarska
• Lacy Rose Morelli
• Yesenia N Moretti
• Jody Moroney

• Family Medicine Physician in Paradise, CA
• Providers in Paradise, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.