Organization Active NPI

Miller Chiropractic Life Center PC

  • Medical Specialty Clinic/Center
  • Northville, MI
National Provider Identifier
1609174762
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
2301004002 Issued in MI
Legal business name
MILLER CHIROPRACTIC LIFE CENTER PC
Practice address
41074 7 Mile Rd
Suite a
Northville, MI 48167-2669
Phone
(248) 348-3500
Fax
(248) 348-1066
NPI assigned
Mar 14, 2011
Last updated
Mar 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Authorized official

Name
Dr. Carl Dana Miller, DC
Title
Owner/President
Phone
(248) 348-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 2301004002 MI Primary

Addresses

Primary practice location

41074 7 Mile Rd
Suite a
Northville, MI 48167-2669

Mailing address

41074 7 Mile Rd
Suite a
Northville, MI 48167-2669
Phone (248) 348-3500

Other identifiers 1

IdentifierTypeStateIssuer
0Q25009OtherBLUE CROSS BLUE SHIELD MICHIGAN

National Provider Directory

National Provider Directory

Locations

41074 7 Mile Rd
Ste A
Northville, MI 48167
Phone (248) 348-3500

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1609174762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41074 7 MILE RD",
            "address_2": "SUITE A",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481672669",
            "telephone_number": "248-348-3500",
            "fax_number": "248-348-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41074 7 MILE RD",
            "address_2": "SUITE A",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481672669",
            "telephone_number": "248-348-3500",
            "fax_number": "248-348-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER CHIROPRACTIC LIFE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "DANA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "248-348-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "2301004002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MICHIGAN",
            "identifier": "0Q25009",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.