Carl D Miller, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2460 Issued in WI

Practice address

2121 E 5TH St
Superior, WI 54880-3610

Phone

(715) 398-6679

Fax

(715) 398-6080

NPI assigned

Feb 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lake Superior Chiropractic Office, S.C.

  • Chiropractor
  • Superior, WI
  • NPI 1053538959
  Medicare reassignment Authorized official
• Omnia Wellness and Recovery

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Duluth, MN
  • NPI 1063231017
  NPD

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790826261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E 5TH ST",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548803610",
            "telephone_number": "715-398-6679",
            "fax_number": "715-398-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E 5TH ST",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548803610",
            "telephone_number": "715-398-6679",
            "fax_number": "715-398-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CARL",
        "middle_name": "D",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38843900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Michels
• Savannah Rose Middlestead, PHARMD
• Richard Mika, RN
• Gerald Thomas Mikel
• Kevin M Mikel, DDS
• Lauren Ashley Miller, MS, CCC-SLP
• Lisa Mills
• Minh Ngoc Ngo
• Minneapolis Vamc
• Wendy Mitchell, COTA

• Chiropractor in Superior, WI
• Providers in Superior, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.