Individual provider Active NPI

Amber Lea Miller, D.C.

  • Chiropractor
  • Eagan, MN
National Provider Identifier
1598075376
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5321 Issued in MN
Practice address
3440 Federal Dr Ste 120
Eagan, MN 55122-3516
Phone
(612) 787-2055
NPI assigned
Oct 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5321 MN Primary

Addresses

Primary practice location

3440 Federal Dr Ste 120
Eagan, MN 55122-3516

Mailing address

3440 Federal Dr Ste 120
Eagan, MN 55122-3516
Phone (612) 787-2055

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101029000353 MN Practitioner - Chiropractic 5092909457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3440 Federal Dr
Suite 138
Eagan, MN 55122-3500
Phone (612) 787-2055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Basic Balance Chiropractic Chiropractor CurrentSince Jan 1, 2013 Accepting new patients
Lantz Chiropractic, PA CurrentSince Jan 1, 2013 Accepting new patients
Abc Family Chiropractic, P.a. Chiropractor Past Accepting new patients
Flynn Brown Chiropractic, SC Chiropractor Past Accepting new patients

Locations

3440 Federal Dr
Ste 138
Saint Paul, MN 55122
Phone (612) 584-0220

3440 Federal Dr
Ste 120
Saint Paul, MN 55122
Phone (612) 787-2055

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": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1598075376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 FEDERAL DR STE 120",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223516",
            "telephone_number": "612-787-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 FEDERAL DR STE 120",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223516",
            "telephone_number": "612-787-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "AMBER",
        "middle_name": "LEA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.