Jordan Wayne Miller, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08003185A Issued in IN

Practice address

11876 Olio Rd Ste 500
Fishers, IN 46037-9772

Phone

(317) 595-9620

Fax

(317) 595-9630

NPI assigned

Oct 1, 2020

Last updated

Oct 1, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Freedom Chiropractic Inc

  dba ProWellness Chiropractic

  • Chiropractor
  • Fishers, IN
  • NPI 1992181127
  Medicare reassignment NPD
• Prowellness Chiropractic, P.C.

  • Chiropractor
  • Fishers, IN
  • NPI 1790973154
  NPD

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1871190991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11242 WOLF DANCER PASS S BLDG 27-302",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460374741",
            "telephone_number": "317-450-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11876 OLIO RD STE 500",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379772",
            "telephone_number": "317-595-9620",
            "fax_number": "317-595-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JORDAN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003185A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jordan.miller@logan.edu",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11876 Olio Rd Ste 500",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460379772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Breana Miles
• Annemarie Miley
• Brittany Miller, RDN
• Elizabeth Miller, OTD OTR
• Jereana Miller
• Marvin Jay Miller, MD
• Ryley Miller, PT, DPT
• Summer Miller
• Susan Marie Miller, MS, OTR
• Miller's Home Healthcare Solutions, LLC

• Chiropractor in Fishers, IN
• Providers in Fishers, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.