Individual provider Active NPI

Carla Miller, D.C.

  • Nutrition Chiropractor
  • Newark, NJ
National Provider Identifier
1598799652
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
CHIR007233 Issued in GA
Practice address
525 Irvington Ave
Newark, NJ 07106-3150
Phone
(862) 930-5791
Fax
(862) 300-3570
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00703300 NJ
Nutrition Chiropractor 111NN1001X CHIR007233 GA Primary

Addresses

Primary practice location

525 Irvington Ave
Newark, NJ 07106-3150

Mailing address

10 Charles St # a
Montclair, NJ 07042-2406
Phone (770) 873-5549

Other names 1

  • Carla Webster Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210518000145 NJ Practitioner - Chiropractic 9931158722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

525 Irvington Ave
Newark, NJ 07106-3150
Phone (862) 930-5791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00703300NJMDChiropractor
CHIR007233GAMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic and PT of the Oranges, LLC Nutrition CurrentSince May 8, 2022 Accepting new patients
Miller Chiropractic Center, LLC Chiropractor CurrentSince Dec 6, 2022 Accepting new patients
A-Team Physical Therapy LLC PastSince May 8, 2022 Accepting new patients

Locations

525 Irvington Ave
Ste 2F
Newark, NJ 07106

525 Irvington Ave
Newark, NJ 07106
Phone (862) 930-5791

Organizations & group practices 3

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1598799652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CHARLES ST # A",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422406",
            "telephone_number": "770-873-5549",
            "fax_number": "862-300-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 IRVINGTON AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071063150",
            "telephone_number": "862-930-5791",
            "fax_number": "862-300-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CARLA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00703300",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "GA",
            "license": "CHIR007233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "WEBSTER",
            "credential": "D.C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.