Organization Active NPI

Douglas C Miller D C P a

  • Chiropractor
  • Baltimore, MD
National Provider Identifier
1013238286
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01571 Issued in MD
Legal business name
DOUGLAS C MILLER D C P A
Practice address
3739 Wilkens Ave
Baltimore, MD 21229-5035
Phone
(410) 646-2222
Fax
(410) 646-2502
NPI assigned
Jun 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Amy M Trinite
Title
Practice Manager
Phone
(410) 646-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 01571 MD Primary

Addresses

Primary practice location

3739 Wilkens Ave
Baltimore, MD 21229-5035

Mailing address

3739 Wilkens Ave
Baltimore, MD 21229-5035
Phone (410) 646-2222

Other names 1

  • Dr. Douglas Miller & Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120525000363 MD Part B Supplier - Clinic/Group Practice 3678736832 Receives reassigned benefits from 1 practitioner
Practice locations: Catonsville, MD

National Provider Directory

National Provider Directory

Locations

405 Frederick Rd
Ste 258
Catonsville, MD 21228
Phone (410) 646-2222

Practitioners & affiliated clinicians

Practitioners 2

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": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1013238286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3739 WILKENS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295035",
            "telephone_number": "410-646-2222",
            "fax_number": "410-646-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3739 WILKENS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295035",
            "telephone_number": "410-646-2222",
            "fax_number": "410-646-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS C MILLER D C P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "TRINITE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "410-646-2222"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Douglas Miller & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.