Active NPI
Ryan L Miller, DC
- Chiropractor
- Mosinee, WI
National Provider Identifier
1578660965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4183-012
- Practice address
- 107 Maple St
Mosinee, WI 54455 - Phone
- (715) 693-4144
- NPI assigned
- Sep 20, 2006
- 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 | 4183-012 | WI | Primary |
Addresses
Primary practice location
107 Maple St
Mosinee, WI 54455
Mailing address
107 Maple St
Mosinee, WI 54455-1924
Phone (715) 693-4144
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38987000 | Other | WI | MEDICAID GROUP |
| 38965200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
107 Maple St
Mosinee, WI 54455-1924
Phone (715) 693-4144
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4183-012 | WI | MD | Chiropractor |
| 4183 | WI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosinee Family Chiropractic SC | Chiropractor | Current | Accepting new patients |
| Allied Health of Wisconsin, SC | Chiropractor | Past | Accepting new patients |
Locations
107 Maple St
Mosinee, WI 54455
Phone (715) 693-4144
Organizations & group practices 2
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.
-
- Chiropractor
- Mosinee, WI
- NPI 1922471432
-
dba Allied Health Chiropractic Centers
- Chiropractor
- Wausau, WI
- NPI 1487605051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574380800000",
"number": "1578660965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 MAPLE ST",
"city": "MOSINEE",
"state": "WI",
"postal_code": "544551924",
"telephone_number": "715-693-4144",
"fax_number": "715-692-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 MAPLE ST",
"city": "MOSINEE",
"state": "WI",
"postal_code": "54455",
"telephone_number": "715-693-4144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "RYAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2019-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4183-012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "38987000",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38965200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mosinee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.