Active NPI
Cheryl Anne Miller, D.C.
- Sports Physician Chiropractor
- Evergreen, CO
National Provider Identifier
1407816598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 4550
- Practice address
- 3959 Highway 74
Ste. a
Evergreen, CO 80439-7724 - Phone
- (303) 670-4438
- Fax
- (303) 670-5006
- NPI assigned
- Mar 24, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 4550 | CO | Primary |
Addresses
Primary practice location
3959 Highway 74
Ste. a
Evergreen, CO 80439-7724
Mailing address
3959 Highway 74
Ste. a
Evergreen, CO 80439
Phone (303) 670-4438
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 |
|---|---|---|---|
| 4550 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1407816598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3959 HIGHWAY 74",
"address_2": "STE. A",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "80439",
"telephone_number": "303-670-4438",
"fax_number": "303-670-5006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3959 HIGHWAY 74",
"address_2": "STE. A",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804397724",
"telephone_number": "303-670-4438",
"fax_number": "303-670-5006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CHERYL",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CO",
"license": "4550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.