Organization Active NPI

Jeffrey G Miles, MD, PC

  • Primary Care Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1396926853
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
3242701205 Issued in UT
Legal business name
JEFFREY G MILES, MD, PC
Practice address
4052 W Pioneer Pkwy
Suite 109
Salt Lake City, UT 84120-2062
Phone
(801) 966-6857
Fax
(801) 966-3450
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Authorized official

Name
Dr. Jeffrey G Miles, MDNPI 1952399966
Title
President
Phone
(801) 966-6857

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
Primary Care Clinic/Center 261QP2300X 3242701205 UT Primary

Addresses

Primary practice location

4052 W Pioneer Pkwy
Suite 109
Salt Lake City, UT 84120-2062

Mailing address

PO Box 702569
Salt Lake City, UT 84170-2569
Phone (801) 966-6857

National Provider Directory

National Provider Directory

Locations

4052 W Pioneer Pkwy
#109
West Valley, UT 84120
Phone (801) 268-4766

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": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1396926853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 702569",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841702569",
            "telephone_number": "801-966-6857",
            "fax_number": "801-966-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4052 W PIONEER PKWY",
            "address_2": "SUITE 109",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841202062",
            "telephone_number": "801-966-6857",
            "fax_number": "801-966-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY G MILES, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-966-6857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "UT",
            "license": "3242701205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.