Active NPI
Ian Miller, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Miami, FL
National Provider Identifier
1811189061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- ME99662
- Practice address
- 3200 SW 60TH CT Ste 302
Miami, FL 33155 - Phone
- (305) 662-8330
- Fax
- (305) 663-2813
- NPI assigned
- Aug 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | ME99662 | FL | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | ME99662 | FL | Primary |
Addresses
Primary practice location
3200 SW 60TH CT Ste 302
Miami, FL 33155
Mailing address
3200 SW 60TH CT Ste 302
Miami, FL 33155-4071
Phone (305) 662-8330
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1811189061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 SW 60TH CT STE 302",
"city": "MIAMI",
"state": "FL",
"postal_code": "331554071",
"telephone_number": "305-662-8330",
"fax_number": "305-663-2813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 SW 60TH CT STE 302",
"city": "MIAMI",
"state": "FL",
"postal_code": "33155",
"telephone_number": "305-662-8330",
"fax_number": "305-663-2813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "IAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-13",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "FL",
"license": "ME99662",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "FL",
"license": "ME99662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.