Individual provider Active NPI

Kenneth V Miller, D.C.,P.C.

  • Chiropractor
  • The Dalles, OR
National Provider Identifier
1699818583
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1155 Issued in OR
Practice address
600 Washington St
The Dalles, OR 97058-2234
Phone
(541) 296-3290
Fax
(541) 296-3251
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1155 OR Primary

Addresses

Primary practice location

600 Washington St
The Dalles, OR 97058-2234

Mailing address

600 Washington St
The Dalles, OR 97058-2234
Phone (541) 296-3290

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120430000751 OR Practitioner - Chiropractic 9234391780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1968
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

600 Washington St
The Dalles, OR 97058-2234
Phone (541) 296-3290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth V Miller D.C P.C Chiropractor CurrentSince Mar 7, 2017 Accepting new patients

Locations

600 Washington St
The Dalles, OR 97058
Phone (503) 296-3290

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699818583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WASHINGTON ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582234",
            "telephone_number": "541-296-3290",
            "fax_number": "541-296-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WASHINGTON ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582234",
            "telephone_number": "541-296-3290",
            "fax_number": "541-296-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KENNETH",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "D.C.,P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "1155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.