Individual provider Active NPI

Aaron Udell Miller, D.C.

  • Chiropractor
  • Gold Canyon, AZ
National Provider Identifier
1114110194
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7952 Issued in AZ
Practice address
5341 S Superstition Mountain Dr
Ste. D101
Gold Canyon, AZ 85218-2069
Phone
(480) 983-2249
Fax
(480) 983-1541
NPI assigned
Aug 22, 2007
Last updated
Nov 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002338A IN
Chiropractor 111N00000X 7952 AZ Primary

Addresses

Primary practice location

5341 S Superstition Mountain Dr
Ste. D101
Gold Canyon, AZ 85218-2069

Mailing address

5341 S Superstition Mountain Dr
Ste. D101
Gold Canyon, AZ 85218-2069
Phone (480) 983-2249

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100518000478 MO Practitioner - Chiropractic 3476616871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

274 Wintergreen Rd
Branson, MO 65616-8850
Phone (417) 334-5330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002338AINMDChiropractor
7952AZMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Extra Care Chiropractic Center LLC Chiropractor CurrentSince Dec 30, 2009 Accepting new patients
Superstition Chiropractic Center PLLC Chiropractor Past Accepting new patients

Locations

274 Wintergreen Rd
Branson, MO 65616
Phone (417) 334-5330

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1114110194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5341 S SUPERSTITION MOUNTAIN DR",
            "address_2": "STE. D101",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "852182069",
            "telephone_number": "480-983-2249",
            "fax_number": "480-983-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5341 S SUPERSTITION MOUNTAIN DR",
            "address_2": "STE. D101",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "852182069",
            "telephone_number": "480-983-2249",
            "fax_number": "480-983-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "AARON",
        "middle_name": "UDELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002338A",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gold Canyon, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.