Active NPI
Brad T. Miller, D.C.
- Chiropractor
- Costa Mesa, CA
National Provider Identifier
1679609531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 21061
- Practice address
- 1072 Bristol St
Ste. 101
Costa Mesa, CA 92626-8652 - Phone
- (949) 650-8970
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 21061 | CA | Primary |
Addresses
Primary practice location
1072 Bristol St
Ste. 101
Costa Mesa, CA 92626-8652
Mailing address
2183 Fairview Rd.
Ste. 105
Costa Mesa, CA 92627
Phone (949) 650-8970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501200000000",
"number": "1679609531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2183 FAIRVIEW RD.",
"address_2": "STE. 105",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "92627",
"telephone_number": "949-650-8970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1072 BRISTOL ST",
"address_2": "STE. 101",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926268652",
"telephone_number": "949-650-8970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "BRAD",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2017-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "21061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.