Mountain Sports Chiropractic LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

MOUNTAIN SPORTS CHIROPRACTIC LLC

Practice address

270 E 8TH Ave # N202
Durango, CO 81301-5708

Phone

(970) 403-5759

NPI assigned

Sep 24, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Diana C Miller, DCNPI 1376082081

Title

Co-Owner

Phone

(970) 403-5759

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana C Miller, D.C.

  • Chiropractor
  • Haddonfield, NJ
  • NPI 1376082081
  NPD Authorized official

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1891466207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E 8TH AVE # N202",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015708",
            "telephone_number": "970-403-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E 8TH AVE # N202",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015708",
            "telephone_number": "970-403-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SPORTS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "970-403-5759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376082081",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760874663",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Morris, CMT
• Amy H Moulton, MA LPCC
• Mountain Bloom Oriental Medicine LLC
• Mountain Mobile Physical Therapy PLLC
• Mountain Peace LLC
• Mountain States Pathology PC
• Mountain Summit Diagnostics, LLC
• Mountain Surgical Associates PC, LLC
• Mountain Top Toxicology LLC
• Mountain View Family Healthcare PC

• Sports Physician Chiropractor in Durango, CO
• Providers in Durango, CO by specialty
• Sports Physician Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.