Active NPI
Keith E Miller, M.D.
- Psychiatry Physician
- Denver, CO
National Provider Identifier
1407983430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 38530
- Practice address
- 1055 Clermont St
MHS 116
Denver, CO 80220-3808 - Phone
- (303) 399-8020
- NPI assigned
- Feb 27, 2007
- Reactivated
- Aug 25, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 38530 | CO | Primary |
Addresses
Primary practice location
1055 Clermont St
MHS 116
Denver, CO 80220-3808
Mailing address
1055 Clermont St
MHS 116
Denver, CO 80220-3808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46350756 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1407983430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 CLERMONT ST",
"address_2": "MHS 116",
"city": "DENVER",
"state": "CO",
"postal_code": "802203808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 CLERMONT ST",
"address_2": "MHS 116",
"city": "DENVER",
"state": "CO",
"postal_code": "802203808",
"telephone_number": "303-399-8020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KEITH",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2026-08-25",
"deactivation_date": "2019-09-11",
"reactivation_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "38530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46350756",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.