Individual provider Active NPI

Kevin Roy Miller, DC

  • Chiropractor
  • Lone Tree, CO
National Provider Identifier
1356436141
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4461 Issued in CO
Practice address
9285 Teddy Lane
Suite 145
Lone Tree, CO 80124-6706
Phone
(303) 221-3342
Fax
(720) 274-0718
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4461 CO Primary

Addresses

Primary practice location

9285 Teddy Lane
Suite 145
Lone Tree, CO 80124-6706

Mailing address

9285 Teddy Lane
Suite 145
Lone Tree, CO 80124-6706
Phone (303) 221-3342

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4461COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Acute Chiropractic LLC Chiropractor CurrentSince Jun 21, 2020 Accepting new patients
Camille M. Wood DC PC Past Accepting new patients

Locations

9898 Rosemont Ave
Ste 101
Lone Tree, CO 80124
Phone (303) 221-3342

Organizations & group practices 2

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356436141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9285 TEDDY LANE",
            "address_2": "SUITE 145",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246706",
            "telephone_number": "303-221-3342",
            "fax_number": "720-274-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9285 TEDDY LANE",
            "address_2": "SUITE 145",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246706",
            "telephone_number": "303-221-3342",
            "fax_number": "720-274-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KEVIN",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.