Active NPI
Richard Charles Miller, MD
- Dermatopathology Physician
- Tucson, AZ
National Provider Identifier
1669514030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- 4719
- Practice address
- 2375 N Wyatt Drive
Suite 108
Tucson, AZ 85712-2152 - Phone
- (520) 881-8161
- Fax
- (520) 881-8163
- NPI assigned
- Feb 13, 2007
- 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 |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | 4719 | AZ | Primary |
Addresses
Primary practice location
2375 N Wyatt Drive
Suite 108
Tucson, AZ 85712-2152
Mailing address
12931 E Speedway Blvd
Tucson, AZ 85748
Phone (520) 886-2838
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669514030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12931 E SPEEDWAY BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85748",
"telephone_number": "520-886-2838",
"fax_number": "520-886-9292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2375 N WYATT DRIVE",
"address_2": "SUITE 108",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122152",
"telephone_number": "520-881-8161",
"fax_number": "520-881-8163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "RICHARD",
"middle_name": "CHARLES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "AZ",
"license": "4719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.