Individual provider Active NPI

Dustin C Miller, D.O.

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1972730034
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2009020686 Issued in MO
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

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1972730034MedicaidMO
200726440 AMedicaidKS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100126000818 MO Practitioner - Family Practice 3779625942 Reassigns benefits to 2 organizations

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
New Liberty Hospital CorporationGroup PAC ID 9931166618, 135 clinicians
Liberty Hospital Urgent Care, LLCGroup PAC ID 3375866163, 14 clinicians

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 Home health agency, Overland Park, KS, CCN 177087
  • Liberty Hospital Hospital, Liberty, MO, CCN 260177

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
New Liberty Hospital Coporation CurrentSince Dec 30, 2020 Accepting new patients
Liberty Hospital Urgent Care, LLC CurrentSince Oct 31, 2023 Accepting new patients
New Liberty Hospital Corporation Family Medicine CurrentSince Dec 30, 2020 Accepting new patients
New Liberty Hospital Corporation Family Medicine PastSince Oct 31, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.