Kenneth Ross Miller Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1705 Issued in OH

Practice address

1670 E Mansfield St
Bucyrus, OH 44820-2014

Phone

(419) 562-4300

Fax

(419) 562-4303

NPI assigned

Sep 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1990

Medicare assignment

May accept Medicare assignment

Group practices

Core Care Chiropractic, LLCGroup PAC ID 3577898444, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Core Care Chiropractic, LLC

  • Chiropractor
  • Bucyrus, OH
  • NPI 1689236325
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285738666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 E MANSFIELD ST",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202014",
            "telephone_number": "419-562-4300",
            "fax_number": "419-562-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 E MANSFIELD ST",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202014",
            "telephone_number": "419-562-4300",
            "fax_number": "419-562-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KENNETH",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Beth Mills
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• Mobile Radiology Associates (Mobile Radiology)
• Robert Ross Moneysmith, LISW
• Thamer H Moqdady

• Chiropractor in Bucyrus, OH
• Providers in Bucyrus, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.