Organization Active NPI

Sean M Miller DC PLLC

  • Chiropractor
  • Edwards, CO
National Provider Identifier
1710289178
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6578 Issued in CO
Legal business name
SEAN M MILLER DC PLLC
Doing business as
Palic Miller Chiropractic
Practice address
56 Edwards Village Blvd
Unit 114
Edwards, CO 81632-7802
Phone
(970) 766-7100
NPI assigned
Nov 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Dr. Sean M Miller, DC
Title
Owner
Phone
(970) 766-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6578 CO Primary

Addresses

Primary practice location

56 Edwards Village Blvd
Unit 114
Edwards, CO 81632-7802

Mailing address

56 Edwards Village Blvd
Unit 114
Edwards, CO 81632-7802
Phone (970) 766-7100

Other names 1

  • Palic Miller Chiropractic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1710289178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 EDWARDS VILLAGE BLVD",
            "address_2": "UNIT 114",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816327802",
            "telephone_number": "970-766-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 EDWARDS VILLAGE BLVD",
            "address_2": "UNIT 114",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816327802",
            "telephone_number": "970-766-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN M MILLER DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-766-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palic Miller Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edwards, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.