Individual provider Active NPI

Sara Christine Miller, D.C.

  • Chiropractor
  • Portsmouth, VA
National Provider Identifier
1124081989
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104555883 Issued in VA
Practice address
5800 High St W
Portsmouth, VA 23703-4504
Phone
(757) 686-3716
Fax
(757) 686-8851
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104555883 VA Primary

Addresses

Primary practice location

5800 High St W
Portsmouth, VA 23703-4504

Mailing address

5800 High St W
Portsmouth, VA 23703-4504
Phone (757) 686-3716

Other identifiers 3

IdentifierTypeStateIssuer
236274OtherVAANTHEM OR BCBS PROVIDER #
06-1649498OtherVATAX ID USED FOR OTHER
236273OtherVAANTHEM OR BCBS PROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101108000154 VA Practitioner - Chiropractic 8820283682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Chiropractic and Acupuncture, P.C.Group PAC ID 3476739806, 2 clinicians

Practice addresses (Care Compare)

5800 High St W
Portsmouth, VA 23703-4504
Phone (757) 686-3716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104555883VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic & Acupuncture, P.C. Chiropractor CurrentSince Oct 23, 2002 Accepting new patients

Locations

3105 Western Branch Blvd
Ste 4
Chesapeake, VA 23321
Phone (757) 686-3716

5800 High St W
Portsmouth, VA 23703
Phone (757) 686-3716

1920 Centerville Tpke
Ste 95
Virginia Beach, VA 23464
Phone (757) 351-3778

Organizations & group practices 1

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1124081989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 HIGH ST W",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237034504",
            "telephone_number": "757-686-3716",
            "fax_number": "757-686-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 HIGH ST W",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237034504",
            "telephone_number": "757-686-3716",
            "fax_number": "757-686-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SARA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM OR BCBS PROVIDER #",
            "identifier": "236274",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID USED FOR OTHER",
            "identifier": "06-1649498",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM OR BCBS PROVIDER #",
            "identifier": "236273",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.