Active NPI
Kent Albert Miller, D.C.
- Chiropractor
- Conroe, TX
National Provider Identifier
1730180340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5050
- Practice address
- 3504 W. Davis St.
Conroe, TX 77304-1832 - Phone
- (936) 788-6565
- Fax
- (855) 460-7005
- NPI assigned
- Aug 4, 2005
- 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 | 5050 | TX | Primary |
Addresses
Primary practice location
3504 W. Davis St.
Conroe, TX 77304-1832
Mailing address
3504 W. Davis St.
Conroe, TX 77304-1832
Phone (936) 788-6565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0883969-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3504 W Davis St
Conroe, TX 77304-1832
Phone (936) 788-6565
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5050 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kent a Miller PC | Chiropractor | Current | Accepting new patients |
Locations
903 N Loop 336 W
Ste C
Conroe, TX 77301
Phone (832) 901-5148
3504 W Davis St
Conroe, TX 77304
Phone (936) 539-9299
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
- Conroe, TX
- NPI 1326311887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1730180340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3504 W. DAVIS ST.",
"city": "CONROE",
"state": "TX",
"postal_code": "773041832",
"telephone_number": "936-788-6565",
"fax_number": "855-460-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3504 W. DAVIS ST.",
"city": "CONROE",
"state": "TX",
"postal_code": "773041832",
"telephone_number": "936-788-6565",
"fax_number": "855-460-7005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KENT",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-04",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "5050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0883969-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.