Individual provider Active NPI

Kristen Anderson Miller, D.C.

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1053513234
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7763 Issued in AZ
Practice address
34406 N 27TH Dr
BLDG 2 Suite 108
Phoenix, AZ 85085-6082
Phone
(623) 266-1700
NPI assigned
Jun 1, 2007
Last updated
Nov 6, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7763 AZ Primary

Addresses

Primary practice location

34406 N 27TH Dr
BLDG 2 Suite 108
Phoenix, AZ 85085-6082

Mailing address

18091 N 91St Dr
Peoria, AZ 85382-7710
Phone (602) 670-0311

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

LicenseStateTypeSpecialty
7763AZMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1053513234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18091 N 91ST DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853827710",
            "telephone_number": "602-670-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34406 N 27TH DR",
            "address_2": "BLDG 2 SUITE 108",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856082",
            "telephone_number": "623-266-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KRISTEN",
        "middle_name": "ANDERSON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.