Active NPI
Dennis Miller III, D.C.
- Chiropractor
- Austin, TX
National Provider Identifier
1114951985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2894
- Practice address
- 1910 Justin LN
Austin, TX 78757-2411 - Phone
- (512) 451-0846
- Fax
- (512) 451-1452
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2894 | TX | Primary |
Addresses
Primary practice location
1910 Justin LN
Austin, TX 78757-2411
Mailing address
1910 Justin LN
Austin, TX 78757-2411
Phone (512) 451-0846
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070313000077 | TX | Practitioner - Chiropractic | 9537262530 | Practice locations: Austin, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1910 Justin Lane
Austin, TX 78757-2524
1910 Justin LN
Austin, TX 78757-2492
Phone (512) 451-0846
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2894 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114951985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 JUSTIN LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787572411",
"telephone_number": "512-451-0846",
"fax_number": "512-451-1452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 JUSTIN LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787572411",
"telephone_number": "512-451-0846",
"fax_number": "512-451-1452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DENNIS",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "2894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.