Organization Active NPI

Miller Chiropractic Life Center, P.L.L.C.

  • Chiropractor
  • Waterford, MI
National Provider Identifier
1093011330
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004107 Issued in MI
Legal business name
MILLER CHIROPRACTIC LIFE CENTER, P.L.L.C.
Practice address
5601 Highland Rd
Waterford, MI 48327-1927
Phone
(248) 674-7300
Fax
(248) 674-8091
NPI assigned
Feb 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Authorized official

Name
Mrs. Bette J. Miller
Title
Manager
Phone
(248) 674-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301004107 MI Primary

Addresses

Primary practice location

5601 Highland Rd
Waterford, MI 48327-1927

Mailing address

5601 Highland Rd
Waterford, MI 48327-1927
Phone (248) 674-7300

Other identifiers 1

IdentifierTypeStateIssuer
950F35143OtherMIBCBS OF MICHIGAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1093011330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271927",
            "telephone_number": "248-674-7300",
            "fax_number": "248-674-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271927",
            "telephone_number": "248-674-7300",
            "fax_number": "248-674-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER CHIROPRACTIC LIFE CENTER, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BETTE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-674-7300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "950F35143",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.