Individual provider Active NPI

Scott H Miller, D.C.

  • Chiropractor
  • Hudson, WI
National Provider Identifier
1578606372
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2459 - 012 Issued in WI
Practice address
411 County Road Uu
Hudson, WI 54016-7576
Phone
(715) 386-9500
Fax
(715) 386-2507
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2459 - 012 WI Primary

Addresses

Primary practice location

411 County Road Uu
Hudson, WI 54016-7576

Mailing address

411 County Road Uu
PO Box 466
Hudson, WI 54016-7576
Phone (715) 386-9500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120612000248 WI Practitioner - Chiropractic 1052575677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

411 County Rd Uu
Hudson, WI 54016-7576
Phone (715) 386-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2459 - 012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Miller SC Chiropractor CurrentSince Jun 9, 2012 Accepting new patients

Locations

411 County Road UU
Hudson, WI 54016
Phone (715) 386-0511

411 County Road UU
#C
Hudson, WI 54016
Phone (715) 386-9500

Organizations & group practices 1

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1578606372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 COUNTY ROAD UU",
            "address_2": "PO BOX 466",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167576",
            "telephone_number": "715-386-9500",
            "fax_number": "715-386-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 COUNTY ROAD UU",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167576",
            "telephone_number": "715-386-9500",
            "fax_number": "715-386-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SCOTT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2459 - 012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.