Jesse Glenn Miller, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3042 Issued in OK

Practice address

300 W Shawnee St Ste B
Muskogee, OK 74401-4151

Phone

(918) 683-9777

Fax

(918) 683-9778

NPI assigned

Sep 29, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1984

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Miller Chiropractic Clinic, PLLC

  • Chiropractor
  • Muskogee, OK
  • NPI 1003110438
  Medicare reassignment NPD Authorized official
• Miller Chiropractic Clinic, Inc.

  • Chiropractor
  • Tahlequah, OK
  • NPI 1952487449
  NPD (past) Authorized official
• Anthony Ferrara Chiropractic PC

  • Chiropractor
  • Lawton, OK
  • NPI 1205068566
  NPD (past)
• Health First Chiropractic Clinic PLLC

  • Chiropractor
  • Burleson, TX
  • NPI 1447439617
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1720170517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W SHAWNEE ST STE B",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014151",
            "telephone_number": "918-683-9777",
            "fax_number": "918-683-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W SHAWNEE ST STE B",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014151",
            "telephone_number": "918-683-9777",
            "fax_number": "918-683-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JESSE",
        "middle_name": "GLENN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100830610A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miller Chiropractic Clinic, PLLC
• Aubrey Deanne Miller
• Billy D Miller
• Jeana Ruth Miller
• Jennifer Miller, ATC, LAT, OTC, NREMT
• Kristy Miller
• Michella Miller, RN
• Nikki Renee Miller
• Tonickia Sharron Miller
• Mind Body & Soul Physical Therapy

• Chiropractor in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.