Keith Wayne Miller, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

DPM302 Issued in TN

Practice address

7011 Shallowford Rd
Suite 103
Chattanooga, TN 37421-6727

Phone

(423) 855-4567

Fax

(423) 855-7946

NPI assigned

Nov 30, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902973191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 SHALLOWFORD RD",
            "address_2": "SUITE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216727",
            "telephone_number": "423-855-4567",
            "fax_number": "423-855-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 SHALLOWFORD RD",
            "address_2": "SUITE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216727",
            "telephone_number": "423-855-4567",
            "fax_number": "423-855-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KEITH",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "DPM302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3351334",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank J Miller, MD
• Ivo Aaron Miller, D.D.S
• Jackie L Miller, HADE, HIS
• Jessica Miller, APRN
• John Edwin Miller, M.D.
• Kelly Miller, SLP-CCC
• Lewis McCoy Miller III, MD
• Mary Margaret Miller, M.ED.
• Matthew Miller, DVM
• Melissa Lynn Miller, DVM

• Podiatrist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Podiatrist in Tennessee

• 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.

Verify at the official NPI Registry.