Dean R Miller, L.M.T

Primary specialty

ContractorTaxonomy code 171W00000X

License

11981 Issued in OR

Practice address

925 Avenue H
Seaside, OR 97138-7639

Phone

(503) 738-0612

NPI assigned

Nov 11, 2011

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 11, 2011.

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320969600000",
    "number": "1740567288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 AVENUE H",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971387639",
            "telephone_number": "503-738-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 AVENUE H",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971387639",
            "telephone_number": "503-738-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DEAN",
        "middle_name": "R",
        "credential": "L.M.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-11",
        "last_updated": "2011-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "OR",
            "license": "11981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Micki A Metoyer, CPM, LDEM
• Megan Mills, RN
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• Lindsey S Mizell Wallace, MS, CCC-SLP
• Kaitlin Rose Mullins, CADC-R, QMHA-I
• Allison Myers, CADC1, QMHA-R

• All providers in Seaside, OR
• Contractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; 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.