Active NPI
Miles B Fine, D.O.
- Facial Plastic Surgery Physician
- Las Vegas, NV
National Provider Identifier
1598762759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- DO686
- Practice address
- 1321 S Rainbow Blvd
Suite 220
Las Vegas, NV 89146-9066 - Phone
- (702) 880-1212
- Fax
- (702) 880-1241
- NPI assigned
- Jul 2, 2005
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | DO686 | NV | Primary |
Addresses
Primary practice location
1321 S Rainbow Blvd
Suite 220
Las Vegas, NV 89146-9066
Mailing address
1321 S Rainbow Blvd
Suite 220
Las Vegas, NV 89146-9066
Phone (702) 880-1212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040318000569 | NV | Practitioner - Otolaryngology | 7911897442 | Practice locations: Las Vegas, NV |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO686 | NV | MD | Facial Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1598762759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 S RAINBOW BLVD",
"address_2": "SUITE 220",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891469066",
"telephone_number": "702-880-1212",
"fax_number": "702-880-1241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 S RAINBOW BLVD",
"address_2": "SUITE 220",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891469066",
"telephone_number": "702-880-1212",
"fax_number": "702-880-1241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINE",
"first_name": "MILES",
"middle_name": "B",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "NV",
"license": "DO686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.