Individual provider Active NPI

Virgil Thomas Miller, LAC.

  • Acupuncturist
  • Wasilla, AK
National Provider Identifier
1295015626
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
134 Issued in AK
Practice address
545 N Knik St
Unit B
Wasilla, AK 99654-7022
Phone
(907) 357-1818
NPI assigned
Aug 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 134 AK Primary

Addresses

Primary practice location

545 N Knik St
Unit B
Wasilla, AK 99654-7022

Mailing address

920 E Snohomish Ave
Aptartment. a
Wasilla, AK 99654-5714
Phone (907) 376-7284

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
134AKMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Sitting Swan LLC Past Accepting new patients

Organizations & group practices 1

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": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1295015626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E SNOHOMISH AVE",
            "address_2": "APTARTMENT. A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996545714",
            "telephone_number": "907-376-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 N KNIK ST",
            "address_2": "UNIT B",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547022",
            "telephone_number": "907-357-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "VIRGIL",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LAC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AK",
            "license": "134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.