Active NPI
Robert Charles Miller, DC
- Chiropractor
- Pleasant Grove, UT
National Provider Identifier
1134531775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 353931-1202
- Practice address
- 28N 100 E
Pleasant Grove, UT 84062-2302 - Phone
- (801) 796-7075
- Fax
- (801) 796-7085
- NPI assigned
- Jun 2, 2014
- Last updated
- Dec 23, 2015
- Sex
- Male
- 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 | 353931-1202 | UT | Primary |
Addresses
Primary practice location
28N 100 E
Pleasant Grove, UT 84062-2302
Mailing address
28N 100 E
Pleasant Grove, UT 84062-2302
Phone (801) 796-7075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140627000514 | UT | Practitioner - Chiropractic | 9638394067 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 353931-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Horizon Inc | Chiropractor | Current | Accepting new patients |
Locations
2255 N University Pkwy
Ste 25
Provo, UT 84604
Phone (801) 867-1234
Networks
- UT PPO
- UT PPO D-SNP
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450828800000",
"number": "1134531775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28N 100 E",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840622302",
"telephone_number": "801-796-7075",
"fax_number": "801-796-7085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28N 100 E",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840622302",
"telephone_number": "801-796-7075",
"fax_number": "801-796-7085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ROBERT",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-02",
"last_updated": "2015-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "353931-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Grove, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.