Active NPI
Jeffrey G Miles, MD, PC
- Primary Care Clinic/Center
- Salt Lake City, UT
National Provider Identifier
1396926853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 3242701205
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey G Miles, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Family Medicine Physician
- West Valley City, UT
- NPI 1952399966
-
- Family Medicine Physician
- Sandy, UT
- NPI 1598753501
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.