Advanced Chiropractic PS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2869 Issued in WA

Legal business name

ADVANCED CHIROPRACTIC PS

Practice address

515 W Francis Ave
Suite 1
Spokane, WA 99205-6413

Phone

(509) 328-8269

Fax

(509) 327-3649

NPI assigned

Jan 11, 2012

Last updated

Jan 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Mark Miller, D.C.NPI 1144218678

Title

Owner-Pres

Phone

(509) 328-8269

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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.

• Paul Mark Miller, DC

  • Chiropractor
  • Spokane, WA
  • NPI 1144218678
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1114297884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W FRANCIS AVE",
            "address_2": "SUITE 1",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056413",
            "telephone_number": "509-328-8269",
            "fax_number": "509-327-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W FRANCIS AVE",
            "address_2": "SUITE 1",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056413",
            "telephone_number": "509-328-8269",
            "fax_number": "509-327-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER-PRES",
        "authorized_official_telephone_number": "509-328-8269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIES WC",
            "identifier": "0048359",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Advanced Lifeline Services Inc (ALS Inc)

• Chiropractor in Spokane, WA
• Providers in Spokane, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.