Active NPI
Gregory John Miller, D.C.
- Chiropractor
- Dededo, GU
National Provider Identifier
1497712905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- C-3
- Practice address
- 2078 Army Drive
Suite C
Dededo, GU 96929-8521 - Phone
- (671) 637-7926
- Fax
- (671) 637-8887
- NPI assigned
- Apr 27, 2006
- Last updated
- Jul 21, 2022
- 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 | C-3 | GU | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051213000013 | GU | Practitioner - Chiropractic | 7810918307 | Practice locations: Dededo, GU |
Care Compare profile
Medicare Care Compare- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-3 | GU | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1497712905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2078 ARMY DR STE C",
"city": "DEDEDO",
"state": "GU",
"postal_code": "969296521",
"telephone_number": "671-637-7926",
"fax_number": "671-637-8887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2078 ARMY DRIVE",
"address_2": "SUITE C",
"city": "DEDEDO",
"state": "GU",
"postal_code": "969298521",
"telephone_number": "671-637-7926",
"fax_number": "671-637-8887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "GREGORY",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GU",
"license": "C-3",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dededo, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.