Organization Active NPI

H. Matthew Miller D.C P.C.

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1598951691
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7013 Issued in AZ
Legal business name
H. MATTHEW MILLER D.C P.C.
Practice address
425 West Guadalupe Rd #113
Gilbert, AZ 85233-3202
Phone
(480) 926-3102
NPI assigned
Sep 21, 2007
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. H. Matthew Miller, D.C.
Title
Owner
Phone
(480) 926-3102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7013 AZ Primary

Addresses

Primary practice location

425 West Guadalupe Rd #113
Gilbert, AZ 85233-3202

Mailing address

425 West Guadalupe Rd #113
Gilbert, AZ 85233-3202
Phone (480) 926-3102

Other identifiers 1

IdentifierTypeStateIssuer
1124110697OtherAZIND NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040524001021 AZ Part B Supplier - Clinic/Group Practice 2860483195 Receives reassigned benefits from 1 practitioner
Practice locations: Gilbert, AZ

National Provider Directory

National Provider Directory

Locations

425 W Guadalupe Rd
Ste 113
Gilbert, AZ 85233
Phone (480) 926-3102

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1598951691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 WEST GUADALUPE RD #113",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333202",
            "telephone_number": "480-926-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 WEST GUADALUPE RD #113",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333202",
            "telephone_number": "480-926-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. MATTHEW MILLER D.C P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "H.",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-926-3102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI",
            "identifier": "1124110697",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.