Organization Active NPI

Jason Miller DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Kingwood, TX
National Provider Identifier
1528243128
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1780 Issued in TX
Legal business name
JASON MILLER DPM PA
Practice address
350 Kingwood Medical Dr
Suite 150
Kingwood, TX 77339-6405
Phone
(281) 348-2166
Fax
(281) 358-2153
NPI assigned
Jan 2, 2008
Last updated
Apr 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Authorized official

Name
Daren Michael Guertin, DPM
Title
Doctor
Phone
(281) 348-2166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X 1780 TX Primary

Addresses

Primary practice location

350 Kingwood Medical Dr
Suite 150
Kingwood, TX 77339-6405

Mailing address

350 Kingwood Medical Dr
Suite 150
Kingwood, TX 77339-6405
Phone (281) 348-2166

Other identifiers 3

IdentifierTypeStateIssuer
1639368970OtherTXGROUP NPI
177385501MedicaidTX
183615702MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Jason C Miller DPM PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2802 Garth Rd
Ste 103
Baytown, TX 77521
Phone (281) 422-8300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1528243128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 KINGWOOD MEDICAL DR",
            "address_2": "SUITE 150",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396405",
            "telephone_number": "281-348-2166",
            "fax_number": "281-358-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 KINGWOOD MEDICAL DR",
            "address_2": "SUITE 150",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396405",
            "telephone_number": "281-348-2166",
            "fax_number": "281-358-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON MILLER DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "GUERTIN",
        "authorized_official_first_name": "DAREN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "281-348-2166",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1639368970",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177385501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183615702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.