Southern Tier Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X010110 Issued in NY

Legal business name

SOUTHERN TIER CHIROPRACTIC PLLC

Practice address

269 Riverside Dr # 2
Johnson City, NY 13790

Phone

(074) 445-5585

Fax

(607) 238-2865

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Gerard Miller, D.C.

Title

President

Phone

(607) 444-5585

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1831146653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 RIVERSIDE DR # 2",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902726",
            "telephone_number": "074-445-5856",
            "fax_number": "072-382-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 RIVERSIDE DR # 2",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "13790",
            "telephone_number": "074-445-5585",
            "fax_number": "607-238-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TIER CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-444-5585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James C Song, MD
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• Southern Tier AIDS Program, Inc.
• Southern Tier Family Nurse Practitioner Services
• Southern Tier Physical Therapy of Johnson City
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• Southern Tier Special Needs Resources LLC
• Southern Tier Surgery Center LLC

• Chiropractor in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.