Active NPI
Nathan Glen Miller, DC
- Chiropractor
- Roselle, IL
National Provider Identifier
1003043092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038011338
- Practice address
- 400 W Lake St Ste 216
Roselle, IL 60172-3572 - Phone
- (630) 278-9118
- Fax
- (224) 353-0915
- NPI assigned
- Jun 17, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038011338 | IL | Primary |
Addresses
Primary practice location
400 W Lake St Ste 216
Roselle, IL 60172-3572
Mailing address
400 W Lake St Ste 216
Roselle, IL 60172-3572
Phone (630) 278-9118
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038011338 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jay C. Chamberlain, M.D., Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Sparks, NV
- NPI 1730218553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273449600000",
"number": "1003043092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W LAKE ST STE 216",
"city": "ROSELLE",
"state": "IL",
"postal_code": "601723572",
"telephone_number": "630-278-9118",
"fax_number": "224-353-0915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W LAKE ST STE 216",
"city": "ROSELLE",
"state": "IL",
"postal_code": "601723572",
"telephone_number": "630-278-9118",
"fax_number": "224-353-0915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "NATHAN",
"middle_name": "GLEN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-17",
"last_updated": "2010-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038011338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roselle, IL
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- Modern Me Psychology PC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.