Organization Active NPI

Miller Chiropractic Center, LLC

  • Chiropractor
  • Goshen, IN
National Provider Identifier
1225361579
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001719A Issued in IN
Legal business name
MILLER CHIROPRACTIC CENTER, LLC
Practice address
2138 College Ave
Goshen, IN 46528-5004
Phone
(574) 533-0377
NPI assigned
Sep 17, 2009
Last updated
Sep 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Dr. Heather E Miller, D.C.NPI 1912033135
Title
Pres.
Phone
(574) 533-0377

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 08001719A IN Primary

Addresses

Primary practice location

2138 College Ave
Goshen, IN 46528-5004

Mailing address

2138 College Ave
Goshen, IN 46528-5004
Phone (574) 533-0377

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100114000838 IN Part B Supplier - Clinic/Group Practice 1456493378 Receives reassigned benefits from 1 practitioner
Practice locations: Goshen, IN

National Provider Directory

National Provider Directory

Locations

2138 College Ave
Goshen, IN 46528
Phone (574) 533-0377

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1225361579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 COLLEGE AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465285004",
            "telephone_number": "574-533-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 COLLEGE AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465285004",
            "telephone_number": "574-533-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "574-533-0377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001719A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.