Kathryn Mae Miller Stai, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2439 Issued in MN

Practice address

1804 Trott Ave SW
Willmar, MN 56201-1614

Phone

(320) 235-0880

NPI assigned

Nov 28, 2006

Last updated

Dec 12, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Miller Chiropractic Office

  • Clinic/Center
  • Willmar, MN
  • NPI 1851820799
  NPD (past) Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1639245954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 TROTT AVE SW",
            "address_2": "PO BOX 1614",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562011614",
            "telephone_number": "320-235-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 TROTT AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562011614",
            "telephone_number": "320-235-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER STAI",
        "first_name": "KATHRYN",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "19351MI",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73002800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Vision Centers Inc (Midwest Vision Centers)
• Valerie Jean Miklos, PCA
• Nadia Delilato Milani, FULL-SPECTRUM DOULA
• Sarah Miles, PA-C
• Miller Chiropractic Office
• Amy K Miller, PSY.D, LP
• Catherine Rae Miller, ED.D.
• Morgan Miller, LICSW
• Thomas Henry Miller, DDS
• Ashley Caroline Millner, LPCC

• Chiropractor in Willmar, MN
• Providers in Willmar, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.