Organization Active NPI

Millard Chiropractic PC

  • Chiropractor
  • Perry, IA
National Provider Identifier
1821293861
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06310 Issued in IA
Legal business name
MILLARD CHIROPRACTIC PC
Practice address
1206 Willis Ave
Perry, IA 50220-1632
Phone
(515) 465-2020
Fax
(515) 465-3388
NPI assigned
Jun 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Debra S Millard, D.C.NPI 1447223755
Title
Doctor
Phone
(515) 465-2020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06310 IA Primary

Addresses

Primary practice location

1206 Willis Ave
Perry, IA 50220-1632

Mailing address

1206 Willis Ave
Perry, IA 50220-1632
Phone (515) 465-2020

Other identifiers 3

IdentifierTypeStateIssuer
0206748MedicaidIA
623000OtherIAUHC
16846OtherIABCBS

National Provider Directory

National Provider Directory

Locations

1206 Willis Ave
Perry, IA 50220
Phone (515) 465-2020

1216 Willis Ave
Perry, IA 50220
Phone (515) 465-2020

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": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821293861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 WILLIS AVE",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502201632",
            "telephone_number": "515-465-2020",
            "fax_number": "515-465-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 WILLIS AVE",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502201632",
            "telephone_number": "515-465-2020",
            "fax_number": "515-465-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLARD CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLARD",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "515-465-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206748",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "623000",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "16846",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.