Individual provider Active NPI

Jason Everett Miller, D.C.

  • Rehabilitation Chiropractor
  • San Francisco, CA
National Provider Identifier
1194965079
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
30948 Issued in CA
Practice address
21 Columbus Ave Ste 206
San Francisco, CA 94111-2100
Phone
(415) 373-3897
Fax
(866) 543-9129
NPI assigned
Mar 4, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 30948 CA Primary
Rehabilitation Chiropractor 111NR0400X 6126 CO

Addresses

Primary practice location

21 Columbus Ave Ste 206
San Francisco, CA 94111-2100

Mailing address

21 Columbus Ave Ste 206
San Francisco, CA 94111-2100
Phone (415) 373-3897

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

LicenseStateTypeSpecialty
6126COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Levin and Miller Chiropractic Corporation Current Accepting new patients
Structured Wellness P.C. PastSince Jul 5, 2026 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1194965079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 COLUMBUS AVE STE 206",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941112100",
            "telephone_number": "415-373-3897",
            "fax_number": "866-543-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 COLUMBUS AVE STE 206",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941112100",
            "telephone_number": "415-373-3897",
            "fax_number": "866-543-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JASON",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "30948",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CO",
            "license": "6126",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.