Organization Active NPI

Christopher J Miller Chiropractic Inc

  • Chiropractor
  • Encinitas, CA
National Provider Identifier
1013237973
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11989 Issued in CA
Legal business name
CHRISTOPHER J MILLER CHIROPRACTIC INC
Practice address
1465 Encinitas Blvd
Suite H
Encinitas, CA 92024-2951
Phone
(760) 753-6808
Fax
(760) 753-6315
NPI assigned
Jun 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Mrs. Kathy Marie Clark
Title
Office Manager
Phone
(760) 753-6808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 11989 CA Primary

Addresses

Primary practice location

1465 Encinitas Blvd
Suite H
Encinitas, CA 92024-2951

Mailing address

1465 Encinitas Blvd
Suite H
Encinitas, CA 92024-2951
Phone (760) 753-6808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100622000140 CA Part B Supplier - Clinic/Group Practice 3072644913 Receives reassigned benefits from 1 practitioner
Practice locations: Encinitas, CA

National Provider Directory

National Provider Directory

Locations

1465 Encinitas Blvd
Ste H
Encinitas, CA 92024
Phone (760) 632-5445

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1013237973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 ENCINITAS BLVD",
            "address_2": "SUITE H",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242951",
            "telephone_number": "760-753-6808",
            "fax_number": "760-753-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 ENCINITAS BLVD",
            "address_2": "SUITE H",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242951",
            "telephone_number": "760-753-6808",
            "fax_number": "760-753-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER J MILLER CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-753-6808",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "11989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.