Active NPI
Daniel William Miller, DC
- Chiropractor
- Richmond, VA
National Provider Identifier
1881793354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556159
- Practice address
- 4908 Monument Avenue
100
Richmond, VA 23230-3613 - Phone
- (804) 254-0200
- Fax
- (804) 254-1953
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556159 | VA | Primary |
Addresses
Primary practice location
4908 Monument Avenue
100
Richmond, VA 23230-3613
Mailing address
4908 Monument Avenue
100
Richmond, VA 23230-3613
Phone (804) 254-0200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 185126 | Other | ANTHEM | |
| 5698696 | Other | VA | AETNA |
| 9369963 | Other | VA | CIGNA HEALTHCARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4460 | CO | MD | Professional Counselor |
| 0104556159 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back in Action Chiropractic Center PC | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Richmond, VA
- NPI 1497825079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881793354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4908 MONUMENT AVENUE",
"address_2": "100",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232303613",
"telephone_number": "804-254-0200",
"fax_number": "804-254-1953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4908 MONUMENT AVENUE",
"address_2": "100",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232303613",
"telephone_number": "804-254-0200",
"fax_number": "804-254-1953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DANIEL",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "185126",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5698696",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "9369963",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.