Active NPI
Ryan J Miller, D.C.
- Chiropractor
- Coralville, IA
National Provider Identifier
1487730578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- AO5740
- Practice address
- 1006 5TH St
Suite 102
Coralville, IA 52241-2901 - Phone
- (319) 338-3801
- Fax
- (319) 338-4003
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | AO5740 | IA | Primary |
Addresses
Primary practice location
1006 5TH St
Suite 102
Coralville, IA 52241-2901
Mailing address
1006 5TH St
Suite 102
Coralville, IA 52241-2901
Phone (319) 338-3801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14928 | Other | IA | WELLMARK |
| 0132068 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041124000896 | IA | Practitioner - Chiropractic | 7911962337 | Practice locations: Coralville, IA; Wellman, IA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1006 5TH St
Coralville, IA 52241-2902
Phone (319) 338-3801
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AO5740 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gengler Chiropractic LLC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Clive, IA
- NPI 1831373935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487730578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 5TH ST",
"address_2": "SUITE 102",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412901",
"telephone_number": "319-338-3801",
"fax_number": "319-338-4003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 5TH ST",
"address_2": "SUITE 102",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412901",
"telephone_number": "319-338-3801",
"fax_number": "319-338-4003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "RYAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "AO5740",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "14928",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0132068",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.