Active NPI
Glenn R Miller, DC
- Rehabilitation Chiropractor
- Baltimore, MD
National Provider Identifier
1780991000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 1232
- Practice address
- 2901 Druid Park Dr Ste 106
Ashburton Chiropractic
Baltimore, MD 21215-8172 - Phone
- (410) 669-5555
- Fax
- (410) 669-5757
- NPI assigned
- Sep 8, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 1232 | MD | Primary |
Addresses
Primary practice location
2901 Druid Park Dr Ste 106
Ashburton Chiropractic
Baltimore, MD 21215-8172
Mailing address
2901 Druid Park Dr Ste 106
Ashburton Chiropractic
Baltimore, MD 21215-8172
Phone (410) 669-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1232 | MD | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1780991000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 DRUID PARK DR STE 106",
"address_2": "ASHBURTON CHIROPRACTIC",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212158172",
"telephone_number": "410-669-5555",
"fax_number": "410-669-5757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 DRUID PARK DR STE 106",
"address_2": "ASHBURTON CHIROPRACTIC",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212158172",
"telephone_number": "410-669-5555",
"fax_number": "410-669-5757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "GLENN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-08",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "MD",
"license": "1232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.