Active NPI
Thomas I. Miles, DC
- Chiropractor
- Malvern, PA
National Provider Identifier
1568458404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC003961L
- Practice address
- 74 Malin Rd
Malvern, PA 19355-1727 - Phone
- (610) 647-2940
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC003961L | PA | Primary |
Addresses
Primary practice location
74 Malin Rd
Malvern, PA 19355-1727
Mailing address
74 Malin Rd
Malvern, PA 19355-1727
Phone (610) 647-2940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 665313 | Other | PA | PERSONAL CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC003961L | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511913600000",
"number": "1568458404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 MALIN RD",
"city": "MALVERN",
"state": "PA",
"postal_code": "193551727",
"telephone_number": "610-647-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 MALIN RD",
"city": "MALVERN",
"state": "PA",
"postal_code": "193551727",
"telephone_number": "610-647-2940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "THOMAS",
"middle_name": "I.",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2017-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC003961L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "665313",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Malvern, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.