Individual provider Active NPI

Jachin Miller, D.C

  • Chiropractor
  • Scottsbluff, NE
National Provider Identifier
1114342250
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1791 Issued in NE
Practice address
713 W 27TH St
Scottsbluff, NE 69361-4412
Phone
(308) 632-2255
NPI assigned
Feb 26, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1791 NE Primary

Addresses

Primary practice location

713 W 27TH St
Scottsbluff, NE 69361-4412

Mailing address

160720 County Road 33
Minatare, NE 69356-3522
Phone (308) 641-7161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140731000275 NE Practitioner - Chiropractic 4880810639 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2809 Ave B
Suite 103
Scottsbluff, NE 69361-4370
Phone (308) 633-6073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Chiropractic PC Chiropractor CurrentSince Jun 21, 2014 Accepting new patients
Miller Family Chiropractic LLC CurrentSince Dec 9, 2022 Accepting new patients

Locations

713 W 27th St
Scottsbluff, NE 69361
Phone (308) 632-2255

2809 Avenue B
Ste 103
Scottsbluff, NE 69361
Phone (308) 633-6073

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1114342250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160720 COUNTY ROAD 33",
            "city": "MINATARE",
            "state": "NE",
            "postal_code": "693563522",
            "telephone_number": "308-641-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 W 27TH ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614412",
            "telephone_number": "308-632-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JACHIN",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.