Organization Active NPI

Miller Chiropractic Center, LLC

  • Chiropractor
  • Newark, NJ
National Provider Identifier
1548894827
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MILLER CHIROPRACTIC CENTER, LLC
Practice address
525 Irvington Ave
Newark, NJ 07106-3150
Phone
(770) 873-5549
Fax
(862) 300-3570
NPI assigned
Feb 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Dr. Carla Miller, DCNPI 1598799652
Title
Chiropractor
Phone
(770) 873-5549

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

525 Irvington Ave
Newark, NJ 07106-3150

Mailing address

525 Irvington Ave
Newark, NJ 07106-3150
Phone (770) 873-5549

Other names 1

  • Miller Chiropractic Center, LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230106000354 NJ Part B Supplier - Clinic/Group Practice 9739559824 Receives reassigned benefits from 1 practitioner
Practice locations: Newark, NJ

National Provider Directory

National Provider Directory

Locations

525 Irvington Ave
Ste 2F
Newark, NJ 07106

525 Irvington Ave
Newark, NJ 07106
Phone (862) 930-5791

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1548894827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 IRVINGTON AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071063150",
            "telephone_number": "770-873-5549",
            "fax_number": "862-300-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 IRVINGTON AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071063150",
            "telephone_number": "770-873-5549",
            "fax_number": "862-300-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "770-873-5549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller Chiropractic Center, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.