Organization Active NPI

Dr. Michael a. Miller, Chiropractic Physician, P.C.

  • Sports Physician Chiropractor
  • Norwood, MA
National Provider Identifier
1730204710
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
355 Issued in MA
Legal business name
DR. MICHAEL A. MILLER, CHIROPRACTIC PHYSICIAN, P.C.
Practice address
884 Washington St
Norwood, MA 02062-3470
Phone
(781) 762-5600
Fax
(781) 769-2100
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Dr. Michael A. Miller, D.C.NPI 1932295359
Title
President
Phone
(781) 762-5600

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
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 355 MA Primary

Addresses

Primary practice location

884 Washington St
Norwood, MA 02062-3470

Mailing address

884 Washington St
Norwood, MA 02062-3470
Phone (781) 762-5600

Other identifiers 1

IdentifierTypeStateIssuer
Y39441OtherMABCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160617000129 MA Part B Supplier - Clinic/Group Practice 2365733615 Receives reassigned benefits from 2 practitioners
Practice locations: Norwood, MA

National Provider Directory

National Provider Directory
Tax ID family
Dr Michael a Miller Chiropractic Physician PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

884 Washington St
Ste H
Norwood, MA 02062

Practitioners & affiliated clinicians

Practitioners 2

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1730204710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 WASHINGTON ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623470",
            "telephone_number": "781-762-5600",
            "fax_number": "781-769-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "884 WASHINGTON ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623470",
            "telephone_number": "781-762-5600",
            "fax_number": "781-769-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHAEL A. MILLER, CHIROPRACTIC PHYSICIAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-762-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MA",
            "license": "355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y39441",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.