Dennis Keith Miller, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A8981 Issued in CA

Practice address

869 W Lacey Blvd Suite 105
C5
Hanford, CA 93230-9323

Phone

(559) 582-2929

Fax

(559) 582-7705

NPI assigned

Feb 13, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Oklahoma State University College of Osteopathic Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Westside Medical Group IncGroup PAC ID 8921176272, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Hanford Hospital, Hanford, CA, CCN 050121

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DEFAED/Endpoint/DEFAED

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Westside Medical Group Inc

  • Rural Health Clinic/Center
  • Firebaugh, CA
  • NPI 1831235605

  5% Or Greater Direct Ownership Interest, Contracted Managing Employee, Corporate Director, Corporate Officer, Operational/Managerial Control

  CMS ownership

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

• Westside Medical Group Inc

  • Rural Health Clinic/Center
  • Firebaugh, CA
  • NPI 1831235605
  Medicare reassignment Care Compare group NPD
• Central Valley Comprehensive Care Inc.

  • Family Medicine Physician
  • Hanford, CA
  • NPI 1841348448
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hanford Community Hospital

  • General Acute Care Hospital
  • Hanford, CA
  • NPI 1538141627
  Care Compare affiliation

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1487893483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 W LACEY BLVD STE 105",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304328",
            "telephone_number": "559-582-2929",
            "fax_number": "559-582-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 W LACEY BLVD SUITE 105",
            "address_2": "C5",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932309323",
            "telephone_number": "559-582-2929",
            "fax_number": "559-582-7705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 O St",
            "address_purpose": "LOCATION",
            "city": "Firebaugh",
            "state": "CA",
            "postal_code": "936222224",
            "country_code": "US",
            "telephone_number": "559-659-9000",
            "fax_number": "559-659-9017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DENNIS",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-13",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "20A8981",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael S. Mayer, OD, an Optometric Corporation
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• Aldea Poisson Miles
• Marjorie Ann Miller, RN
• Jillian Taylor Lim Milliken
• Korina Unique Miranda
• Yadhira Mireles
• Valerie Misenhimer-Miller, RN

• Family Medicine Physician in Hanford, CA
• Providers in Hanford, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.