Active NPI
Kimberly L Miller, M.D.
- Pediatrics Physician
- Allen, TX
National Provider Identifier
1962454397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- M1354
- Practice address
- 1256 W Exchange Pkwy Ste 200
Allen, TX 75013-7049 - Phone
- (972) 649-5480
- Fax
- (972) 649-6664
- NPI assigned
- May 16, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M1354 | TX | Primary |
Addresses
Primary practice location
1256 W Exchange Pkwy Ste 200
Allen, TX 75013-7049
Mailing address
1256 W Exchange Pkwy Ste 200
Allen, TX 75013-7049
Phone (972) 649-5480
Other practice location 1
2810 W 1st St Ste 30
Prosper, TX 75078-8151
Phone (469) 281-2388
Other names 1
- Kimberly L Smith
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M1354 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Batb | Pediatrics | Current | Accepting new patients |
| Lone Star Kids Care | Past | Accepting new patients | |
| Brookwood Family Practice, P.a. | Past | Accepting new patients |
Locations
1256 W Exchange Pkwy
Ste 200
Allen, TX 75013
Phone (972) 649-5480
Interoperability endpoints
- kim.smith@b-tx.direct.office.nextgen.com
- https://api.platform.athenahealth.com/14040/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Allen, TX
- NPI 1518516756
-
- Family Medicine Physician
- Allen, TX
- NPI 1568647451
-
- Primary Care Clinic/Center
- Allen, TX
- NPI 1134675366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1962454397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1256 W EXCHANGE PKWY STE 200",
"city": "ALLEN",
"state": "TX",
"postal_code": "750137049",
"telephone_number": "972-649-5480",
"fax_number": "469-854-6664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1256 W EXCHANGE PKWY STE 200",
"city": "ALLEN",
"state": "TX",
"postal_code": "750137049",
"telephone_number": "972-649-5480",
"fax_number": "972-649-6664"
}
],
"practiceLocations": [
{
"address_1": "2810 W 1st St Ste 30",
"address_purpose": "LOCATION",
"city": "Prosper",
"state": "TX",
"postal_code": "750788151",
"country_code": "US",
"telephone_number": "469-281-2388",
"fax_number": "469-283-2489",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "KIMBERLY",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "M1354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "SMITH",
"middle_name": "L",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.