Active NPI
Andrew Judson Millar, D.C.
- Nutrition Chiropractor
- Poughquag, NY
National Provider Identifier
1356531578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 00782
- Practice address
- 2567 Route 55
Poughquag, NY 12570-5106 - Phone
- (845) 724-4840
- Fax
- (845) 724-4841
- NPI assigned
- Jul 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 00782 | NY | Primary |
Addresses
Primary practice location
2567 Route 55
Poughquag, NY 12570-5106
Mailing address
PO Box 644
Poughquag, NY 12570-5106
Phone (845) 724-4840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO7820-6 | Other | NY | WORKER'S COMPENSATION |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 007820 | NY | MD | Mental Health Counselor |
| 00782 | NY | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Podiatry Associates, PC | Past | Accepting new patients | |
| Millar Chiropractic PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Chiropractor
- Poughquag, NY
- NPI 1164735114
-
- Foot Surgery Podiatrist
- Yorktown Heights, NY
- NPI 1659410934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279584000000",
"number": "1356531578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 644",
"city": "POUGHQUAG",
"state": "NY",
"postal_code": "125705106",
"telephone_number": "845-724-4840",
"fax_number": "845-724-4841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2567 ROUTE 55",
"city": "POUGHQUAG",
"state": "NY",
"postal_code": "125705106",
"telephone_number": "845-724-4840",
"fax_number": "845-724-4841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLAR",
"first_name": "ANDREW",
"middle_name": "JUDSON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-25",
"last_updated": "2010-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "NY",
"license": "00782",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKER'S COMPENSATION",
"identifier": "CO7820-6",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughquag, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.