Jon L Mills, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7316 Issued in TX

Practice address

4601 Colleyville Blvd
Suite 120
Colleyville, TX 76034-3975

Phone

(817) 581-0123

Fax

(817) 581-2211

NPI assigned

Jun 24, 2005

Reactivated

Mar 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1467458430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 COLLEYVILLE BLVD",
            "address_2": "SUITE 120",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760343975",
            "telephone_number": "817-581-0123",
            "fax_number": "817-581-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 COLLEYVILLE BLVD",
            "address_2": "SUITE 120",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760343975",
            "telephone_number": "817-581-0123",
            "fax_number": "817-581-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "JON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2011-08-04",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Michaelis, DC
• Microscopic Ventures LLC (Accurate Labs by CMMS)
• Mid Cities Sleep LLP
• Brooklin Miller, FNP-C
• Louis C. Miller, DDS
• Haley Milner
• Christopher Missimo, MA, NCC, LPC-I
• Kathleen Darnell Mitchell, RPH
• Cole Modlin, MA
• Rashad Mohamed Riazuddin, MD

• Chiropractor in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.