Keith C Miller P C., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4081 Issued in AZ

Practice address

1940 W Baseline Road
Ste 7
Mesa, AZ 85202-9006

Phone

(480) 345-2900

Fax

(480) 345-2900

NPI assigned

Jul 26, 2006

Last updated

Aug 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Keith C. Miller P.C.

  • Chiropractor
  • Mesa, AZ
  • NPI 1992053268
  Medicare reassignment NPD

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1558384701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 W BASELINE ROAD",
            "address_2": "STE 7",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852029006",
            "telephone_number": "480-345-2900",
            "fax_number": "480-345-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 W BASELINE ROAD",
            "address_2": "STE 7",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852029006",
            "telephone_number": "480-345-2900",
            "fax_number": "480-345-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER P C.",
        "first_name": "KEITH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0230400",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamille Miles
• Milestone Operations LLC
• Milestone Pediatrics LLC (Milestone Innovative Therapy Group)
• Myriah L Milhone, OTD, OTR/L
• Charles Militello, PA-C
• Abraham Miller, DDS
• Amanda Rae Miller, RDN, LRD
• Amber K Miller
• Brooke Lauren Miller, PA
• Caris Markos Miller, D.M.D.

• Chiropractor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.