Active NPI
Dustin C Miller, D.O.
- Family Medicine Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2009020686
- Practice address
- 8880 NE 82ND Ter
Kansas City, MO 64158-1313 - Phone
- (816) 437-8122
- Fax
- (816) 407-9609
- NPI assigned
- Jun 16, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2009020686 | MO | Primary |
Addresses
Primary practice location
8880 NE 82ND Ter
Kansas City, MO 64158-1313
Mailing address
8880 NE 82ND Ter
Kansas City, MO 64158-1313
Phone (816) 437-8122
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972730034 | Medicaid | MO | |
| 200726440 A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
305 S Platte Clay Way
The Kearney Clinic
Kearney, MO 64060-8214
Phone (816) 628-4409
8300 N Church Rd
Kansas City, MO 64158-1104
Phone (816) 407-2300
Hospital & facility affiliations
- Interim Healthcare of Kansas City
- Liberty Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Liberty Hospital Coporation | Current | Accepting new patients | |
| Liberty Hospital Urgent Care, LLC | Current | Accepting new patients | |
| New Liberty Hospital Corporation | Family Medicine | Current | Accepting new patients |
| New Liberty Hospital Corporation | Family Medicine | Past | Accepting new patients |
| Saint Luke'S Neighborhood Clinics, LLC | Past | Accepting new patients | |
| New Liberty Hospital Coporation | Family Medicine | Past | Accepting new patients |
Locations
8380 N Tullis Ave
Ste 300
Kansas City, MO 64158
Phone (816) 415-3451
8300 N Church Rd
Kansas City, MO 64158
Phone (816) 407-2300
305 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-4409
2521 Glenn Hendren Dr
Ste 410
Liberty, MO 64068
Phone (816) 415-3437
Interoperability endpoints
- dustin.millerdo.p7@direct.nlhc.nextgenshare.com
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Kansas City, MO
- NPI 1558778373
-
- Family Medicine Physician
- Kearney, MO
- NPI 1669734661
-
- Nephrology Physician
- Liberty, MO
- NPI 1053284190
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1821518630
-
- Family Medicine Physician
- Liberty, MO
- NPI 1023360690
-
- Diagnostic Radiology Physician
- Overland Park, KS
- NPI 1346783008
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Liberty, MO
- NPI 1548001464
-
- Home Health Agency
- Overland Park, KS
- NPI 1316934086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493164800000",
"number": "1972730034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8880 NE 82ND TER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641581313",
"telephone_number": "816-437-8122",
"fax_number": "816-407-9609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8880 NE 82ND TER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641581313",
"telephone_number": "816-437-8122",
"fax_number": "816-407-9609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DUSTIN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-16",
"last_updated": "2017-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2009020686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972730034",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200726440 A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.