Melissa Rose Miller, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X012399-1 Issued in NY

Practice address

402 N Cayuga St
Ithaca, NY 14850-4291

Phone

(607) 233-4445

NPI assigned

Jan 14, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1447597257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CREAMERY RD",
            "city": "BROOKTONDALE",
            "state": "NY",
            "postal_code": "148179787",
            "telephone_number": "570-702-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N CAYUGA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504291",
            "telephone_number": "607-233-4445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Creamery Rd",
            "address_purpose": "LOCATION",
            "city": "Brooktondale",
            "state": "NY",
            "postal_code": "148179787",
            "country_code": "US",
            "telephone_number": "607-233-4445",
            "fax_number": "607-821-3858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MELISSA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010765",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012399-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Istvan Mikowski, PSY.D.
• Carol L Miller, M.A., ATR-BC, LCAT
• Elizabeth Miller, CCC-SLP
• Ellen Elizabeth Miller, CCC-SLP
• Karen E Miller, MD
• Nancy Louise Miller, CNM, PA-C
• Susan Miller, M.D.
• Tyler Miller
• Zackary David Miller, LMT
• Sarah Driver Mills, M.P.T.

• Chiropractor in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.