Individual provider Active NPI

Taylor Ann Miller, DC

  • Chiropractor
  • Grand Island, NE
National Provider Identifier
1639780695
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
03 Issued in NE
Practice address
2441 N Diers Ave
Grand Island, NE 68803-1240
Phone
(308) 384-4955
Fax
(308) 384-7088
NPI assigned
Aug 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 03 NE Primary

Addresses

Primary practice location

2441 N Diers Ave
Grand Island, NE 68803-1240

Mailing address

2441 N Diers Ave
Grand Island, NE 68803-1240
Phone (308) 384-4955

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidNE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL activefamilygi.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200901003024 NE Practitioner - Chiropractic 1153748462 Reassigns benefits to 1 organization
I20260430000270 IL Practitioner - Chiropractic 1153748462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1163 S Milwaukee Ave
Libertyville, IL 60048-3716

549 26TH St
Gladstone, MI 49837-2324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Health and Pain Institute LLC Chiropractor Current Accepting new patients
Chiropractic Health and Pain Institute PLLC Chiropractor CurrentSince Mar 30, 2025 Accepting new patients
Chiropractic Health and Pain Institute PA PLLC Chiropractor PastSince Apr 20, 2025 Accepting new patients
Wisconsin Michigan Physicians, SC Past Accepting new patients

Locations

1163 S Milwaukee Ave
Libertyville, IL 60048

Organizations & group practices 5

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": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1639780695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 N DIERS AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031240",
            "telephone_number": "308-384-4955",
            "fax_number": "308-384-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 N DIERS AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031240",
            "telephone_number": "308-384-4955",
            "fax_number": "308-384-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TAYLOR",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "activefamilygi.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "2441 N Diers Ave",
            "city": "Grand Island",
            "state": "NE",
            "country_code": "US",
            "postal_code": "688031240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.