Shawn W Miller, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC007819 Issued in PA

Practice address

608 Hunter Hwy
Suite 112
Tunkhannock, PA 18657-8068

Phone

(570) 836-0558

Fax

(570) 836-0588

NPI assigned

May 23, 2006

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 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mark E Morris and Shawn W MillerGroup PAC ID 1850624842, 2 clinicians

Tunkhannock Chiropractic, LLCGroup PAC ID 6406939180, 2 clinicians

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.

• Mark E Morris & Shawn W Miller

  • Chiropractor
  • Shavertown, PA
  • NPI 1700441565
  Medicare reassignment Care Compare group NPD Authorized official
• Tunkhannock Chiropractic, LLC

  • Rehabilitation Chiropractor
  • Tunkhannock, PA
  • NPI 1366625113
  Medicare reassignment Care Compare group NPD
• Chiropractic & Rehab Associates, P.C.

  • Rehabilitation Chiropractor
  • Tunkhannock, PA
  • NPI 1306050950
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1851346456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 HUNTER HWY",
            "address_2": "SUITE 112",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186578068",
            "telephone_number": "570-836-0558",
            "fax_number": "570-836-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 HUNTER HWY",
            "address_2": "SUITE 112",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186578068",
            "telephone_number": "570-836-0558",
            "fax_number": "570-836-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHAWN",
        "middle_name": "W",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3225134",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "813696",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018655130005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Tunkhannock, PA
• Providers in Tunkhannock, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.