Organization Active NPI

Miles of Chiropractic Clinic LLC

  • Chiropractor
  • League City, TX
National Provider Identifier
1093737926
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8718 Issued in TX
Legal business name
MILES OF CHIROPRACTIC CLINIC LLC
Practice address
2450 S Shore Blvd
Ste 200
League City, TX 77573-2994
Phone
(281) 538-2062
Fax
(281) 538-6309
NPI assigned
Jul 23, 2006
Last updated
Apr 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Jamie L Miles, DCNPI 1841213816
Title
Owner
Phone
(281) 538-2062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8718 TX Primary

Addresses

Primary practice location

2450 S Shore Blvd
Ste 200
League City, TX 77573-2994

Mailing address

2450 S Shore Blvd
Ste 200
League City, TX 77573-2996
Phone (281) 538-2062

Other identifiers 3

IdentifierTypeStateIssuer
0027NEOtherTXBLUE CROSS BLUE SHIELD
7127260OtherTXAETNA INSURANCE
DC8718OtherTXWORKERS COMP

National Provider Directory

National Provider Directory

Locations

3027 Marina Bay Dr
Ste 105
League City, TX 77573
Phone (281) 538-2062

2450 S Shore Blvd
Ste 200
League City, TX 77573
Phone (281) 538-2062

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": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1093737926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 S SHORE BLVD",
            "address_2": "STE 200",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732996",
            "telephone_number": "281-538-2062",
            "fax_number": "281-538-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 S SHORE BLVD",
            "address_2": "STE 200",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732994",
            "telephone_number": "281-538-2062",
            "fax_number": "281-538-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES OF CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-538-2062",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0027NE",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE",
            "identifier": "7127260",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "DC8718",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.