Leon Miller, M.D., Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

LEON MILLER, M.D., INC.

Practice address

839 C Paseo de Peralta
Santa Fe, NM 87501

Phone

(505) 982-3111

Fax

(505) 982-1148

NPI assigned

Jul 28, 2008

Last updated

Jul 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leon Miller

Title

Medical Doctor - Owner

Phone

(505) 982-3111

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1457516676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 GALISTEO STREET",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "telephone_number": "505-982-3111",
            "fax_number": "505-982-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 C PASEO DE PERALTA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87501",
            "telephone_number": "505-982-3111",
            "fax_number": "505-982-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEON MILLER, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "MEDICAL DOCTOR - OWNER",
        "authorized_official_telephone_number": "505-982-3111",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19067",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Lemon, LMSW
• Sharon Lemus
• Victor Lennhoff, LCSW
• Claudia M Lente, CCHW
• Stephanie Ann Leo, RPH
• Heriberta Leon, CCHW
• Mariana Leon
• Stephanie Leon
• Danielle Louise Leonard
• Spring Alexandria Lepak, MA LMHC

• Dermatology Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Dermatology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.