Organization Active NPI

Deborah L Miller DC PA

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1104038892
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0103999 Issued in KS
Legal business name
DEBORAH L MILLER DC PA
Practice address
4618 E Central
Ste 110
Wichita, KS 67208
Phone
(316) 688-5669
Fax
(316) 688-5673
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Dr. Deborah L Miller, DC
Title
Owner Chiropractor
Phone
(316) 688-5669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0103999 KS Primary

Addresses

Primary practice location

4618 E Central
Ste 110
Wichita, KS 67208

Mailing address

4618 E Central
Ste 110
Wichita, KS 67208
Phone (316) 688-5669

Other identifiers 1

IdentifierTypeStateIssuer
023787OtherKSBCBS

Other names 1

  • Miller Chiropractic Other name

National Provider Directory

National Provider Directory

Locations

4618 E Central Ave
Ste 110
Wichita, KS 67208
Phone (316) 688-5669

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1104038892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4618 E CENTRAL",
            "address_2": "STE 110",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67208",
            "telephone_number": "316-688-5669",
            "fax_number": "316-688-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4618 E CENTRAL",
            "address_2": "STE 110",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67208",
            "telephone_number": "316-688-5669",
            "fax_number": "316-688-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH L MILLER DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "316-688-5669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0103999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "023787",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.