Organization Active NPI

Joseph D. Miller, DC, PA

  • Chiropractor
  • Tallahassee, FL
National Provider Identifier
1346414190
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8840 Issued in FL
Legal business name
JOSEPH D. MILLER, DC, PA
Practice address
1931 Welby Way Ste 1
Tallahassee, FL 32308-4473
Phone
(850) 580-5252
Fax
(850) 878-8400
NPI assigned
Apr 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Dr. Joseph Douglas Miller, DCNPI 1770551459
Title
President
Phone
(850) 580-5252

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8840 FL Primary

Addresses

Primary practice location

1931 Welby Way Ste 1
Tallahassee, FL 32308-4473

Mailing address

1931 Welby Way Ste 1
Tallahassee, FL 32308-4473
Phone (850) 580-5252

Other identifiers 4

IdentifierTypeStateIssuer
88774OtherFLBCBS
88774AOtherFLBCBS
667374OtherACN
8747274OtherUNITED HEALTHCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041105000799 FL Part B Supplier - Clinic/Group Practice 8123081668 Receives reassigned benefits from 2 practitioners
Practice locations: Gainesville, FL; Havana, FL; Tallahassee, FL

National Provider Directory

National Provider Directory

Locations

304 W 9th Ave
Ste 14
Havana, FL 32333
Phone (850) 580-5252

304 W 9th Ave
Havana, FL 32333

1931 Welby Way
Ste 1
Tallahassee, FL 32308
Phone (850) 443-6218

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1346414190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 WELBY WAY STE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084473",
            "telephone_number": "850-580-5252",
            "fax_number": "850-878-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 WELBY WAY STE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084473",
            "telephone_number": "850-580-5252",
            "fax_number": "850-878-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH D. MILLER, DC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-580-5252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88774",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88774A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "667374",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "8747274",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.