Organization Active NPI

Miller Chiropractic of Rocky Mount, PC

  • Chiropractor
  • Rocky Mount, NC
National Provider Identifier
1669624540
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MILLER CHIROPRACTIC OF ROCKY MOUNT, PC
Practice address
1258 Home Depot PLZ
Rocky Mount, NC 27804-8483
Phone
(252) 446-8800
Fax
(252) 446-0080
NPI assigned
Oct 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Authorized official

Name
Kim D Brabble
Title
Office Manager
Phone
(252) 482-4499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1258 Home Depot PLZ
Rocky Mount, NC 27804-8483

Mailing address

PO Box 7067
Rocky Mount, NC 27804-0067
Phone (252) 446-8800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081205000723 NC Part B Supplier - Clinic/Group Practice 4789745985 Receives reassigned benefits from 3 practitioners
Practice locations: Rocky Mount, NC

National Provider Directory

National Provider Directory

Locations

2747 Sunset Ave
#107
Rocky Mount, NC 27804
Phone (252) 446-8800

783 Word Plz
Ste 127
Rocky Mount, NC 27804
Phone (252) 446-8800

2747 Sunset Ave
#A
Rocky Mount, NC 27804

2747 Sunset Ave
Rocky Mount, NC 27804
Phone (252) 446-8800

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1669624540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7067",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040067",
            "telephone_number": "252-446-8800",
            "fax_number": "252-446-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 HOME DEPOT PLZ",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278048483",
            "telephone_number": "252-446-8800",
            "fax_number": "252-446-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER CHIROPRACTIC OF ROCKY MOUNT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "BRABBLE",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "252-482-4499"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.