Shane Donald Miller, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

663 Issued in ND

Practice address

2911 N 14TH St
Suite 102
Bismarck, ND 58503-0659

Phone

(701) 221-2636

Fax

(701) 221-2637

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Chiropractic PCGroup PAC ID 6507763935, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Capital Chiropractic PC

  • Chiropractor
  • Bismarck, ND
  • NPI 1689704553
  Medicare reassignment Care Compare group NPD
• Remillard, P.C.

  • Chiropractor
  • Bismarck, ND
  • NPI 1477740199
  NPD (past)
• Family Focus Chiropractic, LLC

  • Chiropractor
  • Chanhassen, MN
  • NPI 1528324423
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093867541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 ARABIAN AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585038207",
            "telephone_number": "701-221-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 N 14TH ST",
            "address_2": "SUITE 102",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030659",
            "telephone_number": "701-221-2636",
            "fax_number": "701-221-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHANE",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krisann Marie Miller, OTR/L
• Michael Miller, PHARMD
• Michael Miller, PHARMD.
• Nicholas Jon Miller
• Sarah Miller
• Stephanie Ann Lill Miller, MD
• Tera Miller, MBA, RDN, LRD
• Tonya Lynn Miller, D.C.
• Mark Milligan, LSW
• Jana Millner, RD, LRD

• Chiropractor in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.