Individual provider Active NPI

Harry Matthew Miller, DC

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1124110697
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7013 Issued in AZ
Practice address
425 West Guadalupe Rd #113
Gilbert, AZ 85233-3202
Phone
(480) 926-3102
Fax
(480) 926-3103
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7013 AZ Primary

Addresses

Primary practice location

425 West Guadalupe Rd #113
Gilbert, AZ 85233-3202

Mailing address

425 West Guadalupe Rd #113
Gilbert, AZ 85233-3202
Phone (480) 926-3102

Other identifiers 1

IdentifierTypeStateIssuer
1598951691OtherAZGROUP NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040526000275 AZ Practitioner - Chiropractic 9739170085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

425 W Guadalupe Rd
Suite 113
Gilbert, AZ 85233-3203
Phone (480) 926-3102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7013AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
H. Matthew Miller D.C P.C. Chiropractor CurrentSince Dec 1, 2003 Accepting new patients

Locations

425 W Guadalupe Rd
Ste 113
Gilbert, AZ 85233
Phone (480) 926-3102

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1124110697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 WEST GUADALUPE RD #113",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333202",
            "telephone_number": "480-926-3102",
            "fax_number": "480-926-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 WEST GUADALUPE RD #113",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333202",
            "telephone_number": "480-926-3102",
            "fax_number": "480-926-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "HARRY",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1598951691",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.