Organization Active NPI

Miller Chiropractic & Sport Med LLC

  • Chiropractor
  • Clanton, AL
National Provider Identifier
1760214290
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MILLER CHIROPRACTIC & SPORT MED LLC
Practice address
105 6TH St N
Clanton, AL 35045-3426
Phone
(205) 312-9131
NPI assigned
Aug 14, 2024
Last updated
Aug 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Dr. Olivia Miller, DCNPI 1902455397
Title
Owner
Phone
(770) 630-7651

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary
Athletic Trainer 2255A2300X

Addresses

Primary practice location

105 6TH St N
Clanton, AL 35045-3426

Mailing address

143 Park Dr N
Clanton, AL 35045-3944
Phone (770) 630-7651

Other practice location 1

143 Park Dr N
Clanton, AL 35045-3944
Phone (205) 312-9131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250321003570 AL Part B Supplier - Clinic/Group Practice 1355863028 Receives reassigned benefits from 1 practitioner
Practice locations: Clanton, AL

National Provider Directory

National Provider Directory

Locations

105 6th St N
Clanton, AL 35045
Phone (205) 312-9131

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1760214290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 PARK DR N",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350453944",
            "telephone_number": "770-630-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 6TH ST N",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350453426",
            "telephone_number": "205-312-9131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "143 Park Dr N",
            "address_purpose": "LOCATION",
            "city": "Clanton",
            "state": "AL",
            "postal_code": "350453944",
            "country_code": "US",
            "telephone_number": "205-312-9131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MILLER CHIROPRACTIC & SPORT MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-630-7651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clanton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.