Glenn C Miller, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

117810 Issued in CA

Practice address

3637 Larch Ave
Suite #1
South Lake Tahoe, CA 96150-8448

Phone

(530) 542-4778

Fax

(530) 544-9112

NPI assigned

May 18, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699728949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 LARCH AVE",
            "address_2": "SUITE #1",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961508448",
            "telephone_number": "530-542-4778",
            "fax_number": "530-544-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 LARCH AVE",
            "address_2": "SUITE #1",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961508448",
            "telephone_number": "530-542-4778",
            "fax_number": "530-544-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GLENN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "117810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee C Mendez
• Deborah Kathleen Mendonsa
• Maureen Mercure
• Meyers Physical Therapy
• Michael P. Doyle, M.D.
• Leigh Wayne Miller, MD
• Sydney Ione Miller, MA, PPS
• Leeann Mills, PTA
• Mireya Ortega DDS Inc.
• MNT Scientific

• Chiropractor in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.