Dylan A Miller, CO

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Practice address

4 Meeting House Rd Unit 9&10
Chelmsford, MA 01824-2766

Phone

(351) 500-8065

Fax

(351) 500-8069

NPI assigned

Feb 8, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Revolution Orthotics & Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Chelmsford, MA
  • NPI 1639908585
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1861146987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 RICHLAND DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111250",
            "telephone_number": "407-221-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MEETING HOUSE RD UNIT 9&10",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242766",
            "telephone_number": "351-500-8065",
            "fax_number": "351-500-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DYLAN",
        "middle_name": "A",
        "credential": "CO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-08",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael a. Gilchrist, MD
• Michels Angels Corporation
• Rosalba Micieli, LMT
• Edward Micu, LMHC
• Scott Francis Middleton Jr., OT
• Jennifer A Millett, RD
• Claudia Minami Kussano Lopes, DMD
• Mindful Nutrition and Wellness LLC
• David Kamunyo Miringu, OCCUPATION THERAPIST
• Joanne Mirras, DMD

• Customized Equipment (DME) in Chelmsford, MA
• Providers in Chelmsford, MA by specialty
• Customized Equipment (DME) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.