Gregory John Miller, D.C.
Individual provider Active NPI Chiropractor · Dededo, GU
NPI 1497712905 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1497712905
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- C-3 (GU)
- Practice address
- 2078 Army Drive
Suite C
Dededo, GU 96929-8521 - Phone
- (671) 637-7926
- Fax
- (671) 637-8887
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1982
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2078 Army Dr
Suite C
Dededo, GU 96929-6521
Phone (671) 637-7926
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GU
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051213000013 | GU | Practitioner - Chiropractic | 7810918307 | Practice locations: Dededo, GU |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-3 | GU | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | C-3 | GU | Yes |
Addresses
Primary practice location
2078 Army Drive
Suite C
Dededo, GU 96929-8521
Mailing address
2078 Army Dr Ste C
Dededo, GU 96929-6521
Phone (671) 637-7926
Other providers in Dededo, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.