NPIMap

Organization Active NPI

Miller Sports & Wellness Chiropractic

  • Clinic/Center
  • West Allis, WI
National Provider Identifier
1528351806
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4664-012 Issued in WI
Legal business name
MILLER SPORTS & WELLNESS CHIROPRACTIC
Practice address
2363 S 102ND St
Suite 304
West Allis, WI 53227-2143
Phone
(262) 366-3655
Fax
(262) 565-4304
NPI assigned
May 19, 2011
Last updated
May 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Dr. Therese Miller, D.C.NPI 1497055644
Title
Owner
Phone
(262) 366-3655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4664-012 WI Primary

Addresses

Primary practice location

2363 S 102ND St
Suite 304
West Allis, WI 53227-2143

Mailing address

2363 S 102ND St
Suite 304
West Allis, WI 53227-2143
Phone (262) 366-3655

Other identifiers 2

IdentifierTypeStateIssuer
71405MedicaidWI
1497055644OtherWITYPE I NPI

National Provider Directory

National Provider Directory

Locations

2363 S 102nd St
Ste 304
West Allis, WI 53227
Phone (262) 366-3655

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1528351806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 S 102ND ST",
            "address_2": "SUITE 304",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272143",
            "telephone_number": "262-366-3655",
            "fax_number": "262-565-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 S 102ND ST",
            "address_2": "SUITE 304",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272143",
            "telephone_number": "262-366-3655",
            "fax_number": "262-565-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER SPORTS & WELLNESS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "THERESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-366-3655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "4664-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71405",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1497055644",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.