Individual provider Active NPI

Emmaline Michelle Miller, DC

  • Chiropractor
  • Huntsville, OH
National Provider Identifier
1154908622
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-05067 Issued in OH
Practice address
7399 Sr 366
Huntsville, OH 43324
Phone
(937) 842-2220
NPI assigned
Mar 29, 2021
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-05067 OH Primary

Addresses

Primary practice location

7399 Sr 366
Huntsville, OH 43324

Mailing address

4665 Waynesfield Rd
Harrod, OH 45850-9712
Phone (567) 371-2225

Other practice location 1

317 E Carrol St
Kenton, OH 43326-1539
Phone (419) 673-1163

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210420001065 OH Practitioner - Chiropractic 9436567096 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indian Meadows Chiropractic Center, LLCGroup PAC ID 1951562404, 3 clinicians

Practice addresses (Care Compare)

7399 State Route 366
Suite 2
Huntsville, OH 43324-9546
Phone (937) 842-2220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-05067OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Indian Meadows Chiropractic Center, LLC Chiropractor CurrentSince Apr 16, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

7399 State Route 366
Huntsville, OH 43324
Phone (937) 842-2220

7399 State Route 366
#2
Huntsville, OH 43324
Phone (937) 842-2220

Organizations & group practices 3

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1154908622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 WAYNESFIELD RD",
            "city": "HARROD",
            "state": "OH",
            "postal_code": "458509712",
            "telephone_number": "567-371-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7399 SR 366",
            "city": "HUNTSVILLE",
            "state": "OH",
            "postal_code": "43324",
            "telephone_number": "937-842-2220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 E Carrol St",
            "address_purpose": "LOCATION",
            "city": "Kenton",
            "state": "OH",
            "postal_code": "433261539",
            "country_code": "US",
            "telephone_number": "419-673-1163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "EMMALINE",
        "middle_name": "MICHELLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "7399 SR 366",
            "city": "Huntsville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "43324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.