Roger A Miller, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1717 Issued in NC

Practice address

1495 Rymco Dr
Suite 107
Winston Salem, NC 27103-2947

Phone

(336) 659-0655

NPI assigned

May 24, 2007

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1487865531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25081",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271145081",
            "telephone_number": "336-659-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 RYMCO DR",
            "address_2": "SUITE 107",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032947",
            "telephone_number": "336-659-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ROGER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908629",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS INSURANCE NUMBER",
            "identifier": "8981",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "08629",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucena Miller, R.D., L.D.N.
• Mercedes L Miller
• Preston Roy Miller, MD
• Rachel Ceilann Miller, PAC
• Richard Benjamin Miller, MD
• Sage Miller
• Sara Schumann Miller, CRNA
• Scott Alan Miller, MD
• Susan Rogers Miller
• Valerie Miller

• Chiropractor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.