Active NPI
William Miller
- Specialist
- Romulus, MI
National Provider Identifier
1922497718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2909203
- Practice address
- 27526 Dupree St
Romulus, MI 48174-9516 - Phone
- (734) 795-6396
- NPI assigned
- Jan 15, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 2909203 | MI | Primary |
Addresses
Primary practice location
27526 Dupree St
Romulus, MI 48174-9516
Mailing address
27526 Dupree St
Romulus, MI 48174-9516
Phone (734) 795-6396
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2909203 | Medicaid | MI |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2909203 | MI | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422230400000",
"number": "1922497718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27526 DUPREE ST",
"city": "ROMULUS",
"state": "MI",
"postal_code": "481749516",
"telephone_number": "734-795-6396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27526 DUPREE ST",
"city": "ROMULUS",
"state": "MI",
"postal_code": "481749516",
"telephone_number": "734-795-6396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "WILLIAM",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-15",
"last_updated": "2015-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "2909203",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2909203",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Romulus, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.