Active NPI
John David Miller, MD
- Dermatology Physician
- Bedford, TX
National Provider Identifier
1831250711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D7189
- Practice address
- 1615 Hospital Parkway
Suite 306
Bedford, TX 76022 - Phone
- (817) 684-5106
- Fax
- (817) 684-5120
- NPI assigned
- Dec 13, 2006
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | D7189 | TX | Primary |
Addresses
Primary practice location
1615 Hospital Parkway
Suite 306
Bedford, TX 76022
Mailing address
1615 Hospital Parkway
Suite 306
Bedford, TX 76022
Phone (817) 684-5106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084655201 | Medicaid | TX |
Other names 1
- John David Miller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.97 of 100
- Quality
- 76.91
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 77.16
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": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392336000000",
"number": "1831250711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 HOSPITAL PARKWAY",
"address_2": "SUITE 306",
"city": "BEDFORD",
"state": "TX",
"postal_code": "76022",
"telephone_number": "817-684-5106",
"fax_number": "817-684-5120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 HOSPITAL PARKWAY",
"address_2": "SUITE 306",
"city": "BEDFORD",
"state": "TX",
"postal_code": "76022",
"telephone_number": "817-684-5106",
"fax_number": "817-684-5120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JOHN",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2014-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "D7189",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "084655201",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "MILLER",
"middle_name": "DAVID",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.