Individual provider Active NPI

Diane Miller, D.C.

  • Chiropractor
  • Santa Clarita, CA
National Provider Identifier
1619907912
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24510 Issued in CA
Practice address
25059 Peachland Ave
Santa Clarita, CA 91321
Phone
(661) 255-1555
Fax
(661) 255-6369
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC24510 CA Primary

Addresses

Primary practice location

25059 Peachland Ave
Santa Clarita, CA 91321

Mailing address

25059 Peachland Ave
Santa Clarita, CA 91321-2517
Phone (661) 255-1555

Other identifiers 1

IdentifierTypeStateIssuer
DC24510OtherCHIROPRACTIC LIC. NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090617000736 CA Practitioner - Chiropractic 9335299056 Practice locations: Santa Clarita, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23504 Lyons Ave
Suite 202B
Santa Clarita, CA 91321-2534
Phone (661) 255-1555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24510CAMDCritical Care Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1619907912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25059 PEACHLAND AVE",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212517",
            "telephone_number": "661-255-1555",
            "fax_number": "661-255-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25059 PEACHLAND AVE",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "91321",
            "telephone_number": "661-255-1555",
            "fax_number": "661-255-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DIANE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LIC. NUMBER",
            "identifier": "DC24510",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.