Active NPI
Wade Miller, D.C.
- Chiropractor
- Layton, UT
National Provider Identifier
1720806516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13615884-1202
- Practice address
- 365 W 1550 N Ste D
Layton, UT 84041-2279 - Phone
- (801) 614-0550
- NPI assigned
- Sep 30, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 13615884-1202 | UT | Primary |
Addresses
Primary practice location
365 W 1550 N Ste D
Layton, UT 84041-2279
Mailing address
365 W 1550 N Ste D
Layton, UT 84041-2279
Phone (801) 614-0550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
365 W 1550
Suite D
Layton, UT 84041-2279
Phone (801) 614-0550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shon James Goulding DC PC | Chiropractor | Current | Accepting new patients |
Locations
365 W 1550 N
Ste D
Layton, UT 84041
Phone (801) 614-0550
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": "1727654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1720806516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 W 1550 N STE D",
"city": "LAYTON",
"state": "UT",
"postal_code": "840412279",
"telephone_number": "801-614-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 W 1550 N STE D",
"city": "LAYTON",
"state": "UT",
"postal_code": "840412279",
"telephone_number": "801-614-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "WADE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-30",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "13615884-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.