Mark Alan Miller, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5574 Issued in AZ

Practice address

1745 W Hunt Hwy
Ste. 103
Queen Creek, AZ 85143-5215

Phone

(480) 677-3702

Fax

(480) 677-3724

NPI assigned

Jun 27, 2005

Last updated

Nov 13, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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.

• Advanced Back and Neck Care of Ocotillo, PC

  • Interventional Pain Medicine Physician
  • Chandler, AZ
  • NPI 1326071010

  Chiropractor

  NPD (past)
• Arizona Back and Neck Care LLC

  • Chiropractor
  • Queen Creek, AZ
  • NPI 1306084751
  NPD (past)

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1659377364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 W HUNT HWY",
            "address_2": "STE. 103",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851435215",
            "telephone_number": "480-677-3702",
            "fax_number": "480-677-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 W HUNT HWY",
            "address_2": "STE. 103",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851435215",
            "telephone_number": "480-677-3702",
            "fax_number": "480-677-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BANNER HEALTHCARE",
            "identifier": "00033731",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AZ",
            "identifier": "AZ0938560",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naomi Mendoza Ealy, PMHNP-BC
• Debbie Michele Merideth-Zantout, MT-BC, SLP-A
• Kelle L Meza
• Amber Ann Miller, ATC, LAT, EMT
• Joal R Miller, P.T.
• Jacob Dalton Pistol Mills, PTA
• Mind Health Restoration PLLC
• Trevor Miner, PT
• Andrew G Miritello
• Seyedismail Moayedpardazi, DDS

• Chiropractor in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.