Individual provider Active NPI

Jared Alan Miller, D.C.

  • Chiropractor
  • Eagle Mountain, UT
National Provider Identifier
1609825835
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5253845-1202 Issued in UT
Practice address
3688 Campus Dr
Suite 110
Eagle Mountain, UT 84043-4718
Phone
(801) 789-5416
Fax
(801) 768-3237
NPI assigned
May 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5253845-1202 UT Primary

Addresses

Primary practice location

3688 Campus Dr
Suite 110
Eagle Mountain, UT 84043-4718

Mailing address

3688 E Campus Dr
Ste 110
Eagle Mountain, UT 84005-4668
Phone (801) 789-5416

Other identifiers 3

IdentifierTypeStateIssuer
870395551005MedicaidUT
74-3079413OtherUTTAX ID
HT 002456-001OtherUTTPN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040512001015 UT Practitioner - Chiropractic 0749270841 Practice locations: Eagle Mountain, UT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3688 E Campus Dr
Suite 110
Eagle Mountain, UT 84005-4668
Phone (801) 789-5416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5253845-1202UTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609825835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3688 E CAMPUS DR",
            "address_2": "STE 110",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840054668",
            "telephone_number": "801-789-5416",
            "fax_number": "801-768-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3688 CAMPUS DR",
            "address_2": "SUITE 110",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840434718",
            "telephone_number": "801-789-5416",
            "fax_number": "801-768-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JARED",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "5253845-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870395551005",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "74-3079413",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPN",
            "identifier": "HT 002456-001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Mountain, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.