Individual provider Active NPI

Heith A Miller, D.C.

  • Chiropractor
  • Titusville, FL
National Provider Identifier
1760796239
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10967 Issued in FL
Practice address
1901 Jess Parrish CT
Titusville, FL 32796-2146
Phone
(321) 268-1999
Fax
(321) 264-2440
NPI assigned
Jul 27, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4103 NC
Chiropractor 111N00000X 8729 GA
Chiropractor 111N00000X 0104556937 VA
Chiropractor 111N00000X CH10967 FL Primary

Addresses

Primary practice location

1901 Jess Parrish CT
Titusville, FL 32796-2146

Mailing address

1901 Jess Parrish CT
Titusville, FL 32796-2146
Phone (321) 268-1999

Other identifiers 2

IdentifierTypeStateIssuer
015331900MedicaidFL
IF771ZOtherFLMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20101124000369 GA Practitioner - Chiropractic 8628264090 Reassigns benefits to 1 organization
I20150813010628 FL Practitioner - Chiropractic 8628264090 Reassigns benefits to 1 organization
I20171116003259 VA Practitioner - Chiropractic 8628264090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

517 N Main St
Marion, VA 24354-3327
Phone (276) 706-8530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH10967FLMDChiropractor
8729GAMDChiropractor
4103NCMDChiropractor
0104556937VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Chiropractic Center LLC Chiropractor CurrentSince Oct 12, 2017 Accepting new patients
Titusville Total Healthcare LLC CurrentSince Jul 10, 2015 Accepting new patients
Wellman Family Healthcare Chiropractor CurrentSince Jan 24, 2014 Accepting new patients
Rincon Chiropractic PC Chiropractor Past Accepting new patients

Locations

500 N Washington Ave
Ste 110
Titusville, FL 32796
Phone (321) 268-1999

1901 Jess Parrish Ct
Titusville, FL 32796
Phone (321) 268-1999

124 Chapel Crossing Rd
Brunswick, GA 31525
Phone (912) 554-2002

517 N Main St
Marion, VA 24354
Phone (276) 706-8530

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1760796239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 JESS PARRISH CT",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962146",
            "telephone_number": "321-268-1999",
            "fax_number": "321-264-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 JESS PARRISH CT",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962146",
            "telephone_number": "321-268-1999",
            "fax_number": "321-264-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "HEITH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4103",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "8729",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556937",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015331900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IF771Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.