Martin W Miller, DC

Key facts

NPI

1073672036

Entity type

Individual (NPI type 1)

Primary specialty

Chiropractor 111N00000X

License

A05386 (IA)

Practice address

206 N Grimmell Road
Jefferson, IA 50129

Phone

(515) 386-2515

Fax

(515) 386-4286

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

No

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.

• Miller Chiropractic Center, Inc. Chiropractor · Jefferson, IA · NPI 1194077511
  Medicare reassignment NPD Authorized official CHIROPRACTOR · IA

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IA

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073672036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N GRIMMELL ROAD",
            "city": "JEFFERSON",
            "state": "IA",
            "postal_code": "50129",
            "telephone_number": "515-386-2515",
            "fax_number": "515-386-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N GRIMMELL ROAD",
            "city": "JEFFERSON",
            "state": "IA",
            "postal_code": "50129",
            "telephone_number": "515-386-2515",
            "fax_number": "515-386-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARTIN",
        "middle_name": "W",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "57983",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1123117",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, IA

• Tod Paul Meseck, PHARMD
• Andrea Michaelsen, DPT
• Midwest Behavioral Health LLC
• Midwest Wellness and Recovery
• Miller Chiropractic Center, Inc.
• William Hoyt Monroe, RPH
• Deborah Morton
• Angela Kaye Nelson, PHARM D
• North Central Iowa Mental Health Center, Inc
• Northland Hearing Centers, Inc.

All providers in Jefferson, IA · Chiropractor in Iowa