Miller Spinal Health and Wellness Center S C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038008629 Issued in IL

Legal business name

MILLER SPINAL HEALTH AND WELLNESS CENTER S C

Practice address

404 S Court St
Marion, IL 62959-2712

Phone

(618) 997-8066

Fax

(618) 997-7702

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Guy Bradford Miller, DCNPI 1538118633

Title

President

Phone

(618) 997-8066

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Guy Bradford Miller, D.C.

  • Chiropractor
  • Marion, IL
  • NPI 1538118633
  Medicare reassignment NPD Authorized official
• Calli Marie Smith, LMT

  • Massage Therapist
  • Marion, IL
  • NPI 1548679798
  NPD (past)
• Ryan Dennison Hess, D.C.

  • Chiropractor
  • Vero Beach, FL
  • NPI 1821047127
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1336150630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 S COURT ST",
            "address_2": "PO BOX 1008",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629592712",
            "telephone_number": "618-997-8066",
            "fax_number": "618-997-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S COURT ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629592712",
            "telephone_number": "618-997-8066",
            "fax_number": "618-997-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER SPINAL HEALTH AND WELLNESS CENTER S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "BRADFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-997-8066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael W Adams
• Ryan J Michel, D.O.
• Jamya Mickiel, BSW
• Arlene Eloise Miksanek, M.D.
• Emily Miles, BSN, RN
• Antoinette Marie Miller, NP
• Guy Bradford Miller, D.C.
• Kelsey Ryan Miller
• Mona Miller
• Robert L Miller, M.D.

• Chiropractor in Marion, IL
• Providers in Marion, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.