Individual provider Active NPI

Deborah Miller, RDCS, RVT, RDMS

  • Sonography Specialist/Technologist Cardiovascular
  • Kettering, OH
National Provider Identifier
1932474632
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
License
ARDMS# 124944 Issued in OH
Practice address
5450 Far Hills Ave
Suite 124
Kettering, OH 45429-2386
Phone
(937) 435-2920
NPI assigned
Mar 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist Cardiovascular 246XS1301X ARDMS# 124944 OH Primary

Addresses

Primary practice location

5450 Far Hills Ave
Suite 124
Kettering, OH 45429-2386

Mailing address

2256 Berrycreek Dr
Kettering, OH 45440-2621
Phone (937) 438-1659

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

LicenseStateTypeSpecialty
ARDMS# 124944OHMDSonography Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1932474632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2256 BERRYCREEK DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454402621",
            "telephone_number": "937-438-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 FAR HILLS AVE",
            "address_2": "SUITE 124",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292386",
            "telephone_number": "937-435-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DEBORAH",
        "credential": "RDCS, RVT, RDMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "OH",
            "license": "ARDMS# 124944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.