Glenn C. Miller Chiropractic, Inc.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

GLENN C. MILLER CHIROPRACTIC, INC.

Practice address

3637 Larch Ave
Ste. 1
South Lake Tahoe, CA 96150-8448

Phone

(530) 542-4778

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Clifford Miller, D.C.

Title

President

Phone

(530) 542-4778

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel M. Vella, D.C.

  • Chiropractor
  • Palm Desert, CA
  • NPI 1245238054
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376670703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 LARCH AVE",
            "address_2": "STE. 1",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961508448",
            "telephone_number": "530-542-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 LARCH AVE",
            "address_2": "STE. 1",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961508448",
            "telephone_number": "530-542-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN C. MILLER CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "CLIFFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-542-4778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim George
• Sherellen B Gerhart, MD
• Riann Jeanine Giovacchini
• Elizabeth Anne Glass, LCSW
• Kathi Sue Glauner, MD
• Jessica Nicole Gonzalez
• Jose Benito Gonzalez
• Michelle Goodwin, RN
• Jonathan Graham
• Bradley Wayne Gray, M.D.

• Sports Physician Chiropractor in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.