Organization Active NPI

Tara D Miller DC

Doing business as Family First Chiropractic

  • Chiropractor
  • North Charleston, SC
National Provider Identifier
1205055480
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2873 Issued in SC
Legal business name
TARA D MILLER DC
Doing business as
Family First Chiropractic
Practice address
2750 Dantzler Dr
Suite 101
North Charleston, SC 29406-9006
Phone
(843) 553-9700
Fax
(843) 553-9731
NPI assigned
Apr 25, 2007
Last updated
Mar 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Tara D Miller, DCNPI 1447201926
Title
Chiropractor
Phone
(843) 553-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2873 SC Primary

Addresses

Primary practice location

2750 Dantzler Dr
Suite 101
North Charleston, SC 29406-9006

Mailing address

2750 Dantzler Dr
Suite 101
North Charleston, SC 29406-9006
Phone (843) 553-9700

Other identifiers 1

IdentifierTypeStateIssuer
CH2873MedicaidSC

Other names 1

  • Family First Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050415000120 SC Part B Supplier - Clinic/Group Practice 4385681816 Receives reassigned benefits from 1 practitioner
Practice locations: Charleston, SC; N Charleston, SC

National Provider Directory

National Provider Directory

Locations

930 Folly Rd
Ste C
Charleston, SC 29412
Phone (843) 471-1909

1183 Daniel Island Dr
Daniel Island, SC 29492
Phone (770) 846-2775

2750 Dantzler Dr
#101
North Charleston, SC 29406
Phone (843) 553-9700

9279 Medical Plaza Dr
Ste E1
North Charleston, SC 29406
Phone (843) 553-9700

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1205055480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 DANTZLER DR",
            "address_2": "SUITE 101",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069006",
            "telephone_number": "843-553-9700",
            "fax_number": "843-553-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 DANTZLER DR",
            "address_2": "SUITE 101",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069006",
            "telephone_number": "843-553-9700",
            "fax_number": "843-553-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA D MILLER DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "843-553-9700",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2873",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family First Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.