Active NPI
Alan Paul Miller, M.D.
- Pediatrics Physician
- Eagle, ID
National Provider Identifier
1659329928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- M6036
- Practice address
- 125 Stierman Way
Eagle, ID 83616-5163 - Phone
- (208) 939-4880
- Fax
- (208) 939-5003
- NPI assigned
- May 5, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M6036 | ID | Primary |
Addresses
Primary practice location
125 Stierman Way
Eagle, ID 83616-5163
Mailing address
125 Stierman Way
Eagle, ID 83616-5163
Phone (208) 939-4880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6036 | ID | MD | Pediatrics Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1659329928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 STIERMAN WAY",
"city": "EAGLE",
"state": "ID",
"postal_code": "836165163",
"telephone_number": "208-939-4880",
"fax_number": "208-939-5003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 STIERMAN WAY",
"city": "EAGLE",
"state": "ID",
"postal_code": "836165163",
"telephone_number": "208-939-4880",
"fax_number": "208-939-5003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ALAN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "ID",
"license": "M6036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle, ID
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.