Millers Shoe

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

MILLERS SHOE

Practice address

103 W Michigan Ave
Jackson, MI 49201-1303

Phone

(517) 783-1258

Fax

(517) 783-6472

NPI assigned

Jun 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James Etienne Shotwell Jr., C.PEDNPI 1003938127

Title

Owner

Phone

(517) 783-1258

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Etienne Shotwell Jr., C.PED

  • Contractor
  • Jackson, MI
  • NPI 1003938127
  NPD (past) Authorized official

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760686323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011303",
            "telephone_number": "517-783-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011303",
            "telephone_number": "517-783-1258",
            "fax_number": "517-783-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLERS SHOE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHOTWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ETIENNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-783-1258",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "C.PED"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Suesanne Miller
• Melissa Miller
• Nakia Miller
• Travis Miller
• Xinlei Miller, DMD
• Cayla Milligan
• Diane Christine Milligan, D.C.
• Lisa K Million, MD
• Karalee Marie Mills, LLMSW
• Sherry Kay Mills, CPSS

• Contractor in Jackson, MI
• Providers in Jackson, MI by specialty
• Contractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.