Cody Miller
Individual provider Active NPI Chiropractor · Dummer, NH
NPI 1093334476 · NPPES record last updated Jan 22, 2025
Key facts
- NPI
- 1093334476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CR3063 (ME)
- Practice address
- 1185 NH Route 16
Dummer, NH 03588-5323 - Phone
- (603) 953-4202
- NPI assigned
- Apr 15, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kendall Square Therapeutic Health Center PC
Practice addresses (Care Compare)
122 Mount Auburn St
Cambridge, MA 02138-5715
Phone (617) 441-0101
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251009000319 | MA | Practitioner - Chiropractic | 5193245207 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Works Chiropractic & Wellness, PA | Chiropractor | Current |
Accepting new patients |
| Kendall Square Therapeutic Health Center, P.C. | Chiropractor | Current |
Accepting new patients |
Locations
122 Mount Auburn St
Cambridge, MA 02138
Phone (617) 441-0101
249 Main St
South Berwick, ME 03908
Phone (207) 704-0298
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Chiropractor | 111N00000X | CR3063 | ME | Yes |
Addresses
Primary practice location
1185 NH Route 16
Dummer, NH 03588-5323
Mailing address
1185 NH Route 16
Dummer, NH 03588-5323
Phone (603) 953-4202
Other providers in Dummer, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.