Miller Chiropractic Office

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2439 Issued in MN

Legal business name

MILLER CHIROPRACTIC OFFICE

Practice address

1804 Trott Ave SW
Willmar, MN 56201-2743

Phone

(320) 235-0880

NPI assigned

Jun 5, 2017

Last updated

Jun 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathryn Mae Miller Stai, DCNPI 1639245954

Title

Owner/Provider

Phone

(320) 235-0880

Specialties & licenses 1

Addresses

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.

• Kathryn Mae Miller Stai, DC

  • Chiropractor
  • Willmar, MN
  • NPI 1639245954
  NPD (past) Authorized official

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496620800000",
    "number": "1851820799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1614",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562011614",
            "telephone_number": "320-235-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 TROTT AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562012743",
            "telephone_number": "320-235-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER CHIROPRACTIC OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2017-06-05",
        "status": "A",
        "authorized_official_last_name": "MILLER STAI",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "320-235-0880",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "2439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roni Lee Mickle, LADC
• Midwest Vision Centers Inc (Midwest Vision Centers)
• Valerie Jean Miklos, PCA
• Nadia Delilato Milani, FULL-SPECTRUM DOULA
• Sarah Miles, PA-C
• Kathryn Mae Miller Stai, DC
• Amy K Miller, PSY.D, LP
• Catherine Rae Miller, ED.D.
• Morgan Miller, LICSW
• Thomas Henry Miller, DDS

• Clinic/Center in Willmar, MN
• Providers in Willmar, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; 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.