Individual provider Active NPI

Tara D Miller, D.C.

  • Chiropractor
  • Daniel Island, SC
National Provider Identifier
1447201926
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2873 Issued in SC
Practice address
1183 Daniel Island Dr
Daniel Island, SC 29492-7508
Phone
(843) 471-1909
Fax
(843) 553-9731
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2873 SC Primary

Addresses

Primary practice location

1183 Daniel Island Dr
Daniel Island, SC 29492-7508

Mailing address

1183 Daniel Island Dr
Daniel Island, SC 29492-7508
Phone (843) 471-1909

Other identifiers 1

IdentifierTypeStateIssuer
CH2873MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040317001136 SC Practitioner - Chiropractic 6103716790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

930 Folly Rd
Suite C
Charleston, SC 29412-3938
Phone (843) 471-1909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tara D Miller DC Chiropractor CurrentSince Dec 1, 2004 Accepting new patients
Dr Nichole Sears LLC Chiropractor Past Accepting new patients
Island Experience, Inc. Chiropractor PastSince Feb 6, 2022 Accepting new patients

Locations

930 Folly Rd
Ste C
Charleston, SC 29412
Phone (843) 471-1909

1183 Daniel Island Dr
Daniel Island, SC 29492
Phone (770) 846-2775

9279 Medical Plaza Dr
Ste E1
North Charleston, SC 29406
Phone (843) 553-9700

Organizations & group practices 3

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1447201926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 DANIEL ISLAND DR",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927508",
            "telephone_number": "843-471-1909",
            "fax_number": "843-553-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 DANIEL ISLAND DR",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927508",
            "telephone_number": "843-471-1909",
            "fax_number": "843-553-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TARA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2873",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daniel Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.