Organization Active NPI

Miller Chiropractic Inc

  • Chiropractor
  • East Providence, RI
National Provider Identifier
1720066301
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00308 Issued in RI
Legal business name
MILLER CHIROPRACTIC INC
Practice address
863 Broadway
East Providence, RI 02914-3723
Phone
(401) 434-3000
Fax
(401) 434-3113
NPI assigned
Jan 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kevin G Miller, DCNPI 1831178557
Title
President
Phone
(401) 434-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DCP00308 RI Primary

Addresses

Primary practice location

863 Broadway
East Providence, RI 02914-3723

Mailing address

863 Broadway
East Providence, RI 02914-3723
Phone (401) 434-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060501000755 RI Part B Supplier - Clinic/Group Practice 7315957685 Receives reassigned benefits from 1 practitioner
Practice locations: East Providence, RI

National Provider Directory

National Provider Directory

Locations

863 Broadway
East Providence, RI 02914
Phone (401) 434-3000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720066301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 BROADWAY",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143723",
            "telephone_number": "401-434-3000",
            "fax_number": "401-434-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 BROADWAY",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143723",
            "telephone_number": "401-434-3000",
            "fax_number": "401-434-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-434-3000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.