Active NPI
Miller Chiropractic & Wellness Center , P.L.L.C.
- Chiropractor
- Moundsville, WV
National Provider Identifier
1740332642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 628
- Legal business name
- MILLER CHIROPRACTIC & WELLNESS CENTER , P.L.L.C.
- Practice address
- 1003 4TH St
Moundsville, WV 26041-1722 - Phone
- (304) 843-1192
- Fax
- (304) 843-1197
- NPI assigned
- Jan 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Duane Dale Miller, DC
- Title
- Owner
- Phone
- (304) 843-1192
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 628 | WV | Primary |
Addresses
Primary practice location
1003 4TH St
Moundsville, WV 26041-1722
Mailing address
144 Lafayette Ave
Moundsville, WV 26041-1029
Phone (304) 843-1192
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5472552 | Other | WV | AETNA |
| 350045307 | Other | WV | RAILROAD MEDICARE |
| 628 | Other | OH | HEALTH PLAN |
| 0775005000 | Medicaid | WV | |
| 001710780 | Other | WV | BCBS |
| 233042085-00 | Other | OH | OHIO WORKERS COMPENSATION |
| 3797826-001 | Other | WV | CIGNA |
National Provider Directory
National Provider DirectoryLocations
144 Lafayette Ave
Moundsville, WV 26041
Phone (304) 843-1192
1003 4th St
Moundsville, WV 26041
Phone (304) 843-1192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589760000000",
"number": "1740332642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 LAFAYETTE AVE",
"city": "MOUNDSVILLE",
"state": "WV",
"postal_code": "260411029",
"telephone_number": "304-843-1192",
"fax_number": "304-843-1197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 4TH ST",
"city": "MOUNDSVILLE",
"state": "WV",
"postal_code": "260411722",
"telephone_number": "304-843-1192",
"fax_number": "304-843-1197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLER CHIROPRACTIC & WELLNESS CENTER , P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2020-05-18",
"certification_date": "2020-05-18",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "DUANE",
"authorized_official_middle_name": "DALE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-843-1192",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WV",
"license": "628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5472552",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350045307",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN",
"identifier": "628",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0775005000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "001710780",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO WORKERS COMPENSATION",
"identifier": "233042085-00",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3797826-001",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moundsville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.