Active NPI
Carol Jo Miller, D.C.
- Chiropractor
- De Witt, IA
National Provider Identifier
1124341334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007288
- Practice address
- 107 E 11TH St
De Witt, IA 52742-1453 - Phone
- (563) 219-1125
- NPI assigned
- Mar 3, 2010
- Last updated
- Nov 19, 2012
- Sex
- Female
- 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 | 007288 | IA | Primary |
Addresses
Primary practice location
107 E 11TH St
De Witt, IA 52742-1453
Mailing address
107 E 11TH St
De Witt, IA 52742-1453
Phone (563) 219-1125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
107 E 11TH St
De Witt, IA 52742-1453
Phone (563) 659-9956
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007288 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miller Chiropractic | Current | Accepting new patients | |
| Clinton Back and Neck Care Center, PC | Chiropractor | Past | Accepting new patients |
Locations
107 E 11th St
De Witt, IA 52742
Phone (563) 219-1125
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- De Witt, IA
- NPI 1023448867
-
dba Parkview Back and Neck Care Center
- Chiropractor
- Eldridge, IA
- NPI 1447434121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353283200000",
"number": "1124341334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 E 11TH ST",
"city": "DE WITT",
"state": "IA",
"postal_code": "527421453",
"telephone_number": "563-219-1125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E 11TH ST",
"city": "DE WITT",
"state": "IA",
"postal_code": "527421453",
"telephone_number": "563-219-1125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CAROL",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-03",
"last_updated": "2012-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "007288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in De Witt, IA
- Mentor Abi, LLC (NeuroRestorative Iowa)
- Mentor Abi,LLC D/B/a Neurorestorative Iowa
- Mentor Abi,LLC D/B/a Neurorestorative Iowa (NeuroRestorative Iowa)
- Mercy Specialty Clinic (MercyOne DeWitt Family Medicine)
- Miller Chiropractic
- Jennifer Lee Milota, OTR/L
- Bobby Jo Kessler Mosier, PHARMD
- Rachel Nelson
- Todd Noack
- Heather J Ohnemus, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.