Individual provider Active NPI

Kristopher Carter Miller, D.C.

  • Chiropractor
  • Golden Valley, MN
National Provider Identifier
1255465191
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3346 Issued in MN
Practice address
6480 Wayzata Blvd BLDG Golden
Golden Valley, MN 55426-1710
Phone
(763) 593-0919
Fax
(763) 593-9556
NPI assigned
Mar 15, 2007
Last updated
Aug 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3346 MN Primary

Addresses

Primary practice location

6480 Wayzata Blvd BLDG Golden
Golden Valley, MN 55426-1710

Mailing address

6480 Wayzata Blvd BLDG Golden
Golden Valley, MN 55426-1710
Phone (763) 593-0919

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
3346MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Belde Chiropractic Clinic, PA Chiropractor PastSince Nov 1, 2012 Accepting new patients
IHS Midwest PC Chiropractor PastSince Mar 1, 2011 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, 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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1255465191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 WAYZATA BLVD BLDG GOLDEN",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261710",
            "telephone_number": "763-593-0919",
            "fax_number": "763-593-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 WAYZATA BLVD BLDG GOLDEN",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261710",
            "telephone_number": "763-593-0919",
            "fax_number": "763-593-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KRISTOPHER",
        "middle_name": "CARTER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.