Kim C Miller, DC, ATC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X00996-1 Issued in NY

Practice address

130 Front St
Suite B
Vestal, NY 13850-1562

Phone

(607) 786-3601

Fax

(607) 834-7029

NPI assigned

Jul 10, 2006

Last updated

Jan 12, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
• devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
• devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellness Sport & Spine Chiropractic PLLC

  • Chiropractor
  • Vestal, NY
  • NPI 1417009283
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1003840711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 FRONT ST",
            "address_2": "SUITE B",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501562",
            "telephone_number": "607-786-3601",
            "fax_number": "607-834-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FRONT ST",
            "address_2": "SUITE B",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501562",
            "telephone_number": "607-786-3601",
            "fax_number": "607-834-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KIM",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X00996-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "100651380167",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000143666",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Marie Mikels, PTA
• Eliana Miller
• Evan Ross Miller, PHARMD
• Jane Marie Miller, RN
• Kelly Elizabeth Miller, FNP
• Mindful Psychiatry, PLLC
• Taseer A Minhas, MD
• Hasan Mahmood Mirza, MD
• Alison Mizera-Micholychak, NP
• Zoe Moffett

• Chiropractor in Vestal, NY
• Providers in Vestal, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.