Lacey Miller, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2015001800 Issued in MO

Practice address

605 N Commercial Ave
Saint Clair, MO 63077-1103

Phone

(636) 629-2414

NPI assigned

Oct 1, 2015

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Lacey Hatfield Former name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Louis Sports Chiropractic Center PCGroup PAC ID 0244277929, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• St Louis Sports Chiropractic Center PC

  • Chiropractor
  • Saint Louis, MO
  • NPI 1588851935
  Medicare reassignment Care Compare group NPD
• Coleman Chiropractic, PC

  • Chiropractor
  • Saint Clair, MO
  • NPI 1508196338
  NPD (past)
• Gray Family Chiropractic PLLC

  • Chiropractor
  • Chesterfield, MO
  • NPI 1811312663
  NPD (past)

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1356711428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N COMMERCIAL AVE",
            "city": "SAINT CLAIR",
            "state": "MO",
            "postal_code": "630771103",
            "telephone_number": "636-629-2414",
            "fax_number": "636-629-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N COMMERCIAL AVE",
            "city": "SAINT CLAIR",
            "state": "MO",
            "postal_code": "630771103",
            "telephone_number": "636-629-2414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2190 S Mason Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Des Peres",
            "state": "MO",
            "postal_code": "631311637",
            "country_code": "US",
            "telephone_number": "636-629-2414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LACEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2015001800",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MO",
            "license": "2015001800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACEY",
            "last_name": "HATFIELD",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Taylor Alexis Martin, DC
• Dennis J MC Coy, D.D.S.
• Medley Pharmacy Inc (LTC Sinks Pharmacy)
• Medley Pharmacy Inc. (Sinks Pharmacy)
• Leah Anne Miles
• Missouri Baptist Hospital of Sullivan (St. Clair Clinic)
• Mobile Medical Care LLC
• Monica Marie Mullinax, M.A. CFY-SLP
• Alexis Parkinson
• Shima Patel, PHARM. D.

• Chiropractor in Saint Clair, MO
• Providers in Saint Clair, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.