Active NPI
Brett D Miller
- Chiropractor
- Arnold, MO
National Provider Identifier
1093186223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2015001189
- Practice address
- 1761 Jeffco Blvd
Arnold, MO 63010-2713 - Phone
- (636) 296-1222
- Fax
- (636) 296-1226
- NPI assigned
- Oct 14, 2015
- Last updated
- Apr 12, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2015001189 | MO | Primary |
Addresses
Primary practice location
1761 Jeffco Blvd
Arnold, MO 63010-2713
Mailing address
1761 Jeffco Blvd
Arnold, MO 63010-2713
Phone (636) 296-1222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015001189 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunset Hills Family Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Amy Horn Twenty Seven, LLC | Chiropractor | Past | Accepting new patients |
Locations
4600 S Lindbergh Blvd
Ste 3
Saint Louis, MO 63127
Phone (314) 729-0027
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sunset Hills Chiropractic
- Chiropractor
- Saint Louis, MO
- NPI 1366782088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460419200000",
"number": "1093186223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1761 JEFFCO BLVD",
"city": "ARNOLD",
"state": "MO",
"postal_code": "630102713",
"telephone_number": "636-296-1222",
"fax_number": "636-296-1226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1761 JEFFCO BLVD",
"city": "ARNOLD",
"state": "MO",
"postal_code": "630102713",
"telephone_number": "636-296-1222",
"fax_number": "636-296-1226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "BRETT",
"middle_name": "D",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-14",
"last_updated": "2016-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2015001189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arnold, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.