Active NPI
Kelsie Ann Miller, DC
- Independent Medical Examiner Chiropractor
- Fort Worth, TX
National Provider Identifier
1124658976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Medical Examiner Chiropractor
- License
- 14295
- Practice address
- 411 Harrold St Apt 1152
Fort Worth, TX 76107-3000 - Phone
- (210) 845-9444
- NPI assigned
- Jan 21, 2020
- 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 |
|---|---|---|---|---|
| Independent Medical Examiner Chiropractor | 111NI0013X | 14295 | TX | Primary |
Addresses
Primary practice location
411 Harrold St Apt 1152
Fort Worth, TX 76107-3000
Mailing address
411 Harrold St Apt 1152
Fort Worth, TX 76107-3000
Phone (210) 845-9444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14295 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579564800000",
"number": "1124658976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 HARROLD ST APT 1152",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761073000",
"telephone_number": "210-845-9444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 HARROLD ST APT 1152",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761073000",
"telephone_number": "210-845-9444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KELSIE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-21",
"last_updated": "2020-01-21",
"certification_date": "2020-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0013X",
"taxonomy_group": "",
"desc": "Chiropractor, Independent Medical Examiner",
"state": "TX",
"license": "14295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.