Provider Demographics
NPI:1497782494
Name:MILLER, DENNIS WAYNE (DC)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:WAYNE
Last Name:MILLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13470 S ARAPAHO DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-1615
Mailing Address - Country:US
Mailing Address - Phone:913-782-7260
Mailing Address - Fax:913-782-0134
Practice Address - Street 1:13470 S ARAPAHO DR
Practice Address - Street 2:SUITE 150
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1615
Practice Address - Country:US
Practice Address - Phone:913-782-7260
Practice Address - Fax:913-782-0134
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSC3463111N00000X
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS4505867OtherAETNA
KS27167OtherBC/BS OF KANSAS
KSP00170816OtherRAILROAD MEDICARE
KS07823019OtherBC/BS OF KANSAS CITY
KS20029OtherPREFERRED HEALTHCARE
KS27167OtherBC/BS OF KANSAS
T42321Medicare UPIN