Individual provider Active NPI

Keith Michael Miller, D.C.

  • Chiropractor
  • Souderton, PA
National Provider Identifier
1366437295
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-007735-L Issued in PA
Practice address
655 E Broad St
Souderton, PA 18964-1220
Phone
(215) 703-9999
Fax
(215) 703-9897
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-007735-L PA Primary
Chiropractor 111N00000X AJ-007735-L PA

Addresses

Primary practice location

655 E Broad St
Souderton, PA 18964-1220

Mailing address

655 E Broad St
Souderton, PA 18964-1220
Phone (215) 703-9999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131119001148 PA Practitioner - Chiropractic 5597991653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

655 E Broad St
Souderton, PA 18964-1220
Phone (215) 703-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AJ-007735-LPAMDChiropractor
DC-007735-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Chiropractic & Spine Center, Inc. Chiropractor CurrentSince Aug 6, 2001 Accepting new patients

Locations

655 E Broad St
#M
Souderton, PA 18964

655 E Broad St
Souderton, PA 18964
Phone (215) 703-9999

Organizations & group practices 1

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": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1366437295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 E BROAD ST",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641220",
            "telephone_number": "215-703-9999",
            "fax_number": "215-703-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E BROAD ST",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641220",
            "telephone_number": "215-703-9999",
            "fax_number": "215-703-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KEITH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-007735-L",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "AJ-007735-L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Souderton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.