Individual provider Active NPI

David Scott Miller, D.C.

  • Chiropractor
  • Snyder, NY
National Provider Identifier
1356310320
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008207-1 Issued in NY
Practice address
4446 Main St
Suite 100
Snyder, NY 14226-4406
Phone
(716) 204-0743
Fax
(716) 204-0747
NPI assigned
Mar 14, 2006
Last updated
Sep 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008207-1 NY Primary
Chiropractor 111N00000X 01811 MD

Addresses

Primary practice location

4446 Main St
Suite 100
Snyder, NY 14226-4406

Mailing address

4446 Main St
Suite 100
Snyder, NY 14226-4406
Phone (716) 204-0743

Other identifiers 7

IdentifierTypeStateIssuer
161541806-03OtherNYPRISM
8890229OtherNYINDEPENDENT HEALTH
5888597OtherNYAETNA
00020197301OtherNYUNIVERA
002242792OtherNYBLUE CROSS/BLUE SHIELD
5804180OtherNYGHI
X008207-1OtherNYNOVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080520000081 NY Practitioner - Chiropractic 6800965658 Reassigns benefits to 1 organization
Practice locations: Cheektowaga, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01811MDMDClinical Social Worker
X008207-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
D'Youville College Chiropractor CurrentSince Oct 12, 2014 Accepting new patients
D'Youville College Chiropractor CurrentSince Oct 12, 2014 Accepting new patients
Lifecare Chiropractic, PC Chiropractor Past Accepting new patients

Locations

320 Porter Ave
Buffalo, NY 14201
Phone (716) 829-7991

Organizations & group practices 3

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1356310320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4446 MAIN ST",
            "address_2": "SUITE 100",
            "city": "SNYDER",
            "state": "NY",
            "postal_code": "142264406",
            "telephone_number": "716-204-0743",
            "fax_number": "716-204-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4446 MAIN ST",
            "address_2": "SUITE 100",
            "city": "SNYDER",
            "state": "NY",
            "postal_code": "142264406",
            "telephone_number": "716-204-0743",
            "fax_number": "716-204-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008207-1",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01811",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRISM",
            "identifier": "161541806-03",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "8890229",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5888597",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00020197301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "002242792",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5804180",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOVA",
            "identifier": "X008207-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snyder, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.