Organization Active NPI

Miller Chiropractic & Wellness Center , P.L.L.C.

  • Chiropractor
  • Moundsville, WV
National Provider Identifier
1740332642
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
628 Issued in WV
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

Updated by the provider on May 18, 2020

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
5472552OtherWVAETNA
350045307OtherWVRAILROAD MEDICARE
628OtherOHHEALTH PLAN
0775005000MedicaidWV
001710780OtherWVBCBS
233042085-00OtherOHOHIO WORKERS COMPENSATION
3797826-001OtherWVCIGNA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.