Individual provider Active NPI

Adam Ryan Miller, D.C.

  • Chiropractor
  • Eastpointe, MI
National Provider Identifier
1124319728
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009815 Issued in MI
Practice address
15700 E 9 Mile Rd
Eastpointe, MI 48021-3905
Phone
(586) 772-7770
Fax
(586) 776-3250
NPI assigned
Apr 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009815 MI Primary

Addresses

Primary practice location

15700 E 9 Mile Rd
Eastpointe, MI 48021-3905

Mailing address

15700 E 9 Mile Rd
Eastpointe, MI 48021-3905
Phone (586) 772-7770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110526000381 MI Practitioner - Chiropractic 1456538552 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009815MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Herfert Chiropractic Clinic P C Chiropractor CurrentSince Aug 26, 2013 Accepting new patients
Chiropractic First of Michigan PLLC Chiropractor CurrentSince Dec 29, 2020 Accepting new patients
Klapp Chiropractic Life Center, LLC Chiropractor CurrentSince Sep 9, 2013 Accepting new patients

Locations

4748 Washtenaw Ave
Ann Arbor, MI 48108
Phone (734) 434-1100

15700 E 9 Mile Rd
Eastpointe, MI 48021
Phone (586) 772-7770

Organizations & group practices 3

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": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1124319728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15700 E 9 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213905",
            "telephone_number": "586-772-7770",
            "fax_number": "586-776-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 E 9 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213905",
            "telephone_number": "586-772-7770",
            "fax_number": "586-776-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ADAM",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-29",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.