Individual provider Active NPI

Jolena M Miller, D.C.

  • Chiropractor
  • Tiffin, OH
National Provider Identifier
1508943937
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3345 Issued in OH
Practice address
450 E Market St
Ste. a
Tiffin, OH 44883-1708
Phone
(419) 447-0102
Fax
(419) 447-0112
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3345 OH Primary

Addresses

Primary practice location

450 E Market St
Ste. a
Tiffin, OH 44883-1708

Mailing address

450 E Market St
Ste. a
Tiffin, OH 44883-1708
Phone (419) 447-0102

Other names 1

  • Dr. Jolena M Schubach Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041130000557 OH Practitioner - Chiropractic 3577528876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

450 E Market St
Suite a
Tiffin, OH 44883-1708
Phone (419) 447-0102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3345OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Schubach Chiropractic, Inc. Chiropractor CurrentSince Jul 1, 2003 Accepting new patients
Reser Chiropractic Inc Chiropractor PastSince Jan 31, 2018 Accepting new patients
Gardner Chiropractic Office, Inc. Chiropractor Past Accepting new patients
Perry Spine & Wellness Center, LTD. Chiropractor Past Accepting new patients

Locations

450 E Market St
#B
Tiffin, OH 44883
Phone (419) 447-0102

450 E Market St
#A
Tiffin, OH 44883
Phone (419) 447-0102

Organizations & group practices 4

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1508943937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E MARKET ST",
            "address_2": "STE. A",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831708",
            "telephone_number": "419-447-0102",
            "fax_number": "419-447-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E MARKET ST",
            "address_2": "STE. A",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831708",
            "telephone_number": "419-447-0102",
            "fax_number": "419-447-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOLENA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLENA",
            "last_name": "SCHUBACH",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.