Active NPI
Miles McBride Dale, M.D.
- Surgery Physician
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD61453759
- Practice address
- 1519 3Rd St SE Ste 230
Puyallup, WA 98372-3742 - Phone
- (253) 841-9640
- Fax
- (253) 841-7645
- NPI assigned
- May 30, 2017
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD61453759 | WA | Primary |
Addresses
Primary practice location
1519 3Rd St SE Ste 230
Puyallup, WA 98372-3742
Mailing address
PO Box 5299
Ms: 820-5-Pco
Tacoma, WA 98415-0299
Other practice location 1
90 Prospect Ave Ste 1D
Hackensack, NJ 07601-1918
Phone (201) 977-4840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- New York Medical College, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-1962
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| One Surgical Specialists | Surgery | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients |
Locations
90 Prospect Ave
Ste 1D
Hackensack, NJ 07601
Phone (201) 343-3433
2 Sears Dr
Ste 202
Paramus, NJ 07652
Phone (201) 343-3433
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
Organizations & group practices 5
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.
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Surgery Physician
- Paramus, NJ
- NPI 1134422876
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1326093873
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba Auburn MultiCare Clinic
- Family Medicine Physician
- Auburn, WA
- NPI 1013969195
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MultiCare Auburn Medical Center
- General Acute Care Hospital
- Auburn, WA
- NPI 1255327201
-
dba Tacoma General Allenmore
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
dba MultiCare Good Samaritan Hospital
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1558899005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5299",
"address_2": "MS: 820-5-PCO",
"city": "TACOMA",
"state": "WA",
"postal_code": "984150299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 3RD ST SE STE 230",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723742",
"telephone_number": "253-841-9640",
"fax_number": "253-841-7645"
}
],
"practiceLocations": [
{
"address_1": "90 Prospect Ave Ste 1D",
"address_purpose": "LOCATION",
"city": "Hackensack",
"state": "NJ",
"postal_code": "076011918",
"country_code": "US",
"telephone_number": "201-977-4840",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DALE",
"first_name": "MILES",
"middle_name": "MCBRIDE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-30",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD61453759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.