Miller Chiropractic Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

AO5386 Issued in IA

Legal business name

MILLER CHIROPRACTIC CENTER, INC.

Practice address

206 N Grimmell Rd
Jefferson, IA 50129-1732

Phone

(515) 386-2515

Fax

(515) 386-4286

NPI assigned

Oct 9, 2012

Last updated

Oct 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Martin W Miller, DCNPI 1073672036

Title

Pres/ Chiropractor

Phone

(515) 386-2515

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martin W Miller, DC

  • Chiropractor
  • Jefferson, IA
  • NPI 1073672036
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1194077511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N GRIMMELL RD",
            "city": "JEFFERSON",
            "state": "IA",
            "postal_code": "501291732",
            "telephone_number": "515-386-2515",
            "fax_number": "515-386-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N GRIMMELL RD",
            "city": "JEFFERSON",
            "state": "IA",
            "postal_code": "501291732",
            "telephone_number": "515-386-2515",
            "fax_number": "515-386-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRES/ CHIROPRACTOR",
        "authorized_official_telephone_number": "515-386-2515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "AO5386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MD",
            "identifier": "350046121",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1123117",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "57983",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Briana Jo March, BA, CADC
• Tod Paul Meseck, PHARMD
• Andrea Michaelsen, DPT
• Midwest Behavioral Health LLC
• Midwest Wellness and Recovery
• Martin W Miller, DC
• William Hoyt Monroe, RPH
• Deborah Morton
• Angela Kaye Nelson, PHARM D
• North Central Iowa Mental Health Center, Inc (UnityPoint Health-Berryhill Center)

• Chiropractor in Jefferson, IA
• Providers in Jefferson, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.

Verify at the official NPI Registry.