Organization Active NPI

Kate Miller Inc.

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1477958163
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KATE MILLER INC.
Practice address
12800 Preston Rd
Suite 200
Dallas, TX 75230
Phone
(214) 909-3910
NPI assigned
Oct 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Aquandra T. Spencer
Title
Owner
Phone
(734) 276-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

12800 Preston Rd
Suite 200
Dallas, TX 75230

Mailing address

5940 Forest Park Rd
4049
Dallas, TX 75235
Phone (214) 909-3910

Other names 1

  • Spa Naked Truth & Wellness Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1477958163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 FOREST PARK RD",
            "address_2": "4049",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75235",
            "telephone_number": "214-909-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 PRESTON RD",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75230",
            "telephone_number": "214-909-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATE MILLER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "AQUANDRA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-276-0303"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spa Naked Truth & Wellness Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.