Active NPI
Kenneth V Miller, D.C.,P.C.
- Chiropractor
- The Dalles, OR
National Provider Identifier
1699818583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1155
- 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
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 | 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth V Miller D.C P.C | Chiropractor | Current | 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.
-
- Chiropractor
- The Dalles, OR
- NPI 1245503861
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.