Individual provider Active NPI

Curtis Wade Miller, D.C.

  • Chiropractor
  • Holland, MI
National Provider Identifier
1558691063
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011594 Issued in IL
Practice address
115 Clover St Ste 100
Holland, MI 49423-3266
Phone
(217) 415-2127
NPI assigned
Jan 5, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011594 IL Primary
Chiropractor 111N00000X 2301010002 MI

Addresses

Primary practice location

115 Clover St Ste 100
Holland, MI 49423-3266

Mailing address

31 Whispering Woods Dr
Holland, MI 49424-7809
Phone (217) 415-2127

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130221000291 MI Practitioner - Chiropractic 5991834145 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301010002MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Miller Chiropractic LLC Chiropractor CurrentSince Feb 27, 2014 Accepting new patients
Ak Chiropractic Research Center PLLC Chiropractor Past Accepting new patients
Fluid Motion Chiropractic, Inc Chiropractor Past Accepting new patients
Rochester Chiropractic Clinic, LLC Chiropractor Past Accepting new patients

Locations

84 E Lakewood Blvd
Holland, MI 49424
Phone (616) 392-2166

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": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1558691063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 WHISPERING WOODS DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494247809",
            "telephone_number": "217-415-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CLOVER ST STE 100",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233266",
            "telephone_number": "217-415-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CURTIS",
        "middle_name": "WADE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-05",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011594",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.