Active NPI
Mark Alan Miller, DC
- Chiropractor
- Lexington, KY
National Provider Identifier
1154469377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13841
- Practice address
- 811 Corporate Dr Ste 302
Lexington, KY 40503-5410 - Phone
- (330) 302-4136
- Fax
- (330) 302-4083
- NPI assigned
- Feb 1, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 13841 | CA | Primary |
Addresses
Primary practice location
811 Corporate Dr Ste 302
Lexington, KY 40503-5410
Mailing address
811 Corporate Dr Ste 302
Lexington, KY 40503-5410
Phone (330) 302-4136
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13841 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449532800000",
"number": "1154469377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 CORPORATE DR STE 302",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405035410",
"telephone_number": "330-302-4136",
"fax_number": "330-302-4083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 CORPORATE DR STE 302",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405035410",
"telephone_number": "330-302-4136",
"fax_number": "330-302-4083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MARK",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2015-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "13841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.