Individual provider Active NPI

Emily Miller, DC

  • Chiropractor
  • Kenosha, WI
National Provider Identifier
1841871944
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5646-12 Issued in WI
Practice address
1024 60TH St Ste 1
Kenosha, WI 53140-4099
Phone
(262) 657-7744
Fax
(262) 657-7753
NPI assigned
Apr 20, 2021
Last updated
Apr 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5646-12 WI Primary

Addresses

Primary practice location

1024 60TH St Ste 1
Kenosha, WI 53140-4099

Mailing address

1024 60TH St Ste 1
Kenosha, WI 53140-4099
Phone (262) 657-7744

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

LicenseStateTypeSpecialty
5646-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Chiropractic Clinic, Inc. Chiropractor CurrentSince Apr 25, 2021 Accepting new patients

Locations

1024 60th St
Ste 1
Kenosha, WI 53140
Phone (262) 657-7744

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1841871944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 60TH ST STE 1",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531404099",
            "telephone_number": "262-657-7744",
            "fax_number": "262-657-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 60TH ST STE 1",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531404099",
            "telephone_number": "262-657-7744",
            "fax_number": "262-657-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "EMILY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5646-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.