Individual provider Active NPI

Deborah J Miller, CPCP

  • Technician/Technologist
  • Newport Beach, CA
National Provider Identifier
1407511900
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Technician/TechnologistTaxonomy code 156F00000X
License
PR0085181 Issued in CA
Practice address
833 Dover Dr Ste 4
Newport Beach, CA 92663-6935
Phone
(949) 395-3300
NPI assigned
Nov 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X PR0085181 CA Primary

Addresses

Primary practice location

833 Dover Dr Ste 4
Newport Beach, CA 92663-6935

Mailing address

833 Dover Dr Ste 4
Newport Beach, CA 92663-6935
Phone (949) 395-3300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address debbie@newportpermanentmakeup.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PR0085181CAMDTechnician/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1407511900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 DOVER DR STE 4",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926636935",
            "telephone_number": "949-395-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 DOVER DR STE 4",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926636935",
            "telephone_number": "949-395-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DEBORAH",
        "middle_name": "J",
        "credential": "CPCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "CA",
            "license": "PR0085181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "debbie@newportpermanentmakeup.com",
            "affiliation": "N",
            "endpointDescription": "secure business address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "833 Dover Dr Ste 4",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926636935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.