Individual provider Active NPI

Dena Marie Miles, PA-C

  • Specialist
  • Altoona, PA
National Provider Identifier
1396939294
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA053008 Issued in PA
Practice address
2525 9TH Ave
Suite 2a
Altoona, PA 16602-2014
Phone
(814) 943-7546
Fax
(814) 943-7543
NPI assigned
Sep 4, 2007
Reactivated
Dec 31, 2014
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA053008 PA Primary

Addresses

Primary practice location

2525 9TH Ave
Suite 2a
Altoona, PA 16602-2014

Mailing address

2525 9TH Ave
Suite 2a
Altoona, PA 16602-2014
Phone (814) 943-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071003000130 PA Practitioner - Physician Assistant 2668567843 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular & Thoracic Surgery of Altoona, Inc. Specialist Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Altoona Speciality Center LLC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1396939294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 9TH AVE",
            "address_2": "SUITE 2A",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022014",
            "telephone_number": "814-943-7546",
            "fax_number": "814-943-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 9TH AVE",
            "address_2": "SUITE 2A",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022014",
            "telephone_number": "814-943-7546",
            "fax_number": "814-943-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "DENA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "deactivation_date": "2014-10-20",
        "reactivation_date": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MA053008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.