Individual provider Active NPI

Ryan Patrick Miller, D.C.

  • Chiropractor
  • Quincy, IL
National Provider Identifier
1609012178
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011330 Issued in IL
Practice address
1420 S 14TH St
Quincy, IL 62301-6722
Phone
(217) 228-9000
NPI assigned
Jan 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.011330 IL Primary

Addresses

Primary practice location

1420 S 14TH St
Quincy, IL 62301-6722

Mailing address

2316 Hill Rd
Quincy, IL 62305-1208
Phone (217) 653-9559

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090519000551 IL Practitioner - Chiropractic 3971652025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vance Clinic PLLCGroup PAC ID 6507247970, 2 clinicians

Practice addresses (Care Compare)

1420 S 14TH St
Quincy, IL 62301-6722
Phone (217) 228-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.011330ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vance Clinic PLLC Chiropractor CurrentSince Jun 22, 2022 Accepting new patients
Vance Clinic of Chiropractic Chiropractor PastSince Sep 28, 2009 Accepting new patients

Locations

1420 S 14th St
Quincy, IL 62301
Phone (217) 228-9000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1609012178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 HILL RD",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623051208",
            "telephone_number": "217-653-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S 14TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623016722",
            "telephone_number": "217-228-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RYAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-05",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.