Individual provider Active NPI

Paul Mark Miller, DC

  • Chiropractor
  • Spokane, WA
National Provider Identifier
1144218678
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2869 Issued in WA
Practice address
515 W Francis Ave
Ste 1
Spokane, WA 99205-6413
Phone
(509) 328-8269
Fax
(509) 327-3649
NPI assigned
Oct 10, 2005
Last updated
Dec 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2869 WA Primary

Addresses

Primary practice location

515 W Francis Ave
Ste 1
Spokane, WA 99205-6413

Mailing address

515 W Francis Ave
Ste 1
Spokane, WA 99205-6413
Phone (509) 328-8269

Other identifiers 2

IdentifierTypeStateIssuer
0048359OtherWADEPT LABOR & INDUSTRY WOR
350034609OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051221000608 WA Practitioner - Chiropractic 8527080373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
University of Pasadena College of Chiropractic, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

515 W Francis Ave
Spokane, WA 99205-6413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2869WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Chiropractic PS Chiropractor CurrentSince Dec 11, 2011 Accepting new patients

Locations

515 W Francis Ave
Ste 1
Spokane, WA 99205
Phone (509) 327-8005

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1144218678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W FRANCIS AVE",
            "address_2": "STE 1",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056413",
            "telephone_number": "509-328-8269",
            "fax_number": "509-327-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W FRANCIS AVE",
            "address_2": "STE 1",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056413",
            "telephone_number": "509-328-8269",
            "fax_number": "509-327-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PAUL",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT LABOR & INDUSTRY WOR",
            "identifier": "0048359",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350034609",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.

Verify at the official NPI Registry.