Active NPI
Taylor Ann Miller, DC
- Chiropractor
- Grand Island, NE
National Provider Identifier
1639780695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 03
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | NE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | activefamilygi.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IL
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 03 | NE | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Health and Pain Institute LLC | Chiropractor | Current | Accepting new patients |
| Chiropractic Health and Pain Institute PLLC | Chiropractor | Current | Accepting new patients |
| Chiropractic Health and Pain Institute PA PLLC | Chiropractor | Past | 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.
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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.