Individual provider Active NPI

Joseph Bernard Miller, D.C., C.C.E.P.

  • Chiropractor
  • Charleston, SC
National Provider Identifier
1104953850
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2120 Issued in SC
Practice address
1903 Savannah Hwy Ste a
Charleston, SC 29407-6250
Phone
(843) 556-0101
Fax
(843) 556-8186
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2120 SC Primary

Addresses

Primary practice location

1903 Savannah Hwy Ste a
Charleston, SC 29407-6250

Mailing address

PO Box 30757
Charleston, SC 29417-0757
Phone (843) 565-0101

Other practice location 1

201 Oakbrook Ln Ste 215
Summerville, SC 29485-7538
Phone (843) 851-2000

Other identifiers 1

IdentifierTypeStateIssuer
CH2120MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121114000652 SC Practitioner - Chiropractic 3173774486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1903 Savannah Hwy
A
Charleston, SC 29407-6250
Phone (843) 556-0101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2120SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Chiropractic, Inc Chiropractor CurrentSince Feb 13, 2022 Accepting new patients
Performance Chiropractic Inc Chiropractor CurrentSince Oct 2, 2020 Accepting new patients
Delson PC Chiropractor Past Accepting new patients

Locations

1322 Ashley River Rd
Charleston, SC 29407
Phone (843) 556-0101

1903 Savannah Hwy
#A
Charleston, SC 29407
Phone (843) 556-0101

201 Oakbrook Ln
Ste 215
Summerville, SC 29485
Phone (843) 530-4651

201 Oakbrook Ln
Ste 255
Summerville, SC 29485
Phone (843) 695-8464

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1104953850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30757",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294170757",
            "telephone_number": "843-565-0101",
            "fax_number": "843-556-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 SAVANNAH HWY STE A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076250",
            "telephone_number": "843-556-0101",
            "fax_number": "843-556-8186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Oakbrook Ln Ste 215",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294857538",
            "country_code": "US",
            "telephone_number": "843-851-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOSEPH",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "D.C., C.C.E.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2120",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.