DWIGHT LARRY MILLER MD NPI 1386645539

NPI Information

NPI: 1386645539
Provider Name: DWIGHT LARRY MILLER, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
6585 CLARK RD
SUITE 440
PARADISE, CA
ZIP 95969
Phone: (530) 877-4465
Get Directions

Dwight Larry Miller, MD is a family medicine in Paradise, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Dwight Larry Miller, MD NPI is 1386645539. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6585 CLARK RD
SUITE 440
PARADISE, CA
ZIP 95969-500
Phone: (530) 877-4465
Fax: (530) 877-1034

The enumeration date for this NPI number is 8/9/2005 and was last updated on 1/28/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		G20671	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A41017	MEDICARE UPIN
2	00G206710	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
3	942232162	OTHER		CIGNA
4	00G206710	MEDICAID	CALIFORNIA
5	942232162	OTHER		BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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