John Laurence Miller, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038006597 Issued in IL

Practice address

203 North Grand Ave West
Springfield, IL 62702-2550

Phone

(217) 522-6500

Fax

(217) 753-3465

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1457433302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 NORTH GRAND AVE WEST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627022550",
            "telephone_number": "217-522-6500",
            "fax_number": "217-753-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 NORTH GRAND AVE WEST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627022550",
            "telephone_number": "217-522-6500",
            "fax_number": "217-753-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOHN",
        "middle_name": "LAURENCE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038006597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08482049",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian D Miller, M.D.
• Daniel Robert Miller, DMD
• Donna Miller, LPC
• Gerald Miller, M.D.
• Hannah S Miller, MD
• Kendra Miller, PTA
• Lana J. Miller, LCSW
• Leslie Ann Miller, LPC
• Lisa Spenceley Miller, MS CF-SLP
• Melinda Miller, COTA/L

• Chiropractor in Springfield, IL
• Providers in Springfield, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.