Individual provider Active NPI

Jay Michael Miller, D.C.

  • Chiropractor
  • Hammond, LA
National Provider Identifier
1467545533
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
LA1039 Issued in LA
Practice address
2790 W Church St
Suite 4
Hammond, LA 70401-2860
Phone
(985) 429-0005
Fax
(985) 429-0018
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X LA1039 LA Primary

Addresses

Primary practice location

2790 W Church St
Suite 4
Hammond, LA 70401-2860

Mailing address

2790 W Church St
Suite 4
Hammond, LA 70401-2860
Phone (985) 429-0005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070510000130 LA Practitioner - Chiropractic 8921104829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2790 W Church St
Suite 4
Hammond, LA 70401-2860
Phone (985) 429-0005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1039LAMDMarriage & Family Therapist
LA1039LAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Spinal Care LLC Chiropractor CurrentSince Aug 26, 2011 Accepting new patients

Locations

2790 W Church St
Ste 4
Hammond, LA 70401
Phone (985) 429-0005

Organizations & group practices 1

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1467545533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 W CHURCH ST",
            "address_2": "SUITE 4",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704012860",
            "telephone_number": "985-429-0005",
            "fax_number": "985-429-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 W CHURCH ST",
            "address_2": "SUITE 4",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704012860",
            "telephone_number": "985-429-0005",
            "fax_number": "985-429-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JAY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "LA1039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.