Individual provider Active NPI

Caroline Virginia Miller, DC

  • Chiropractor
  • Cambridge, MA
National Provider Identifier
1902561384
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1104 Issued in NH
Practice address
122 Mount Auburn St
Cambridge, MA 02138-5715
Phone
(617) 441-0101
NPI assigned
Nov 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1104 NH Primary

Addresses

Primary practice location

122 Mount Auburn St
Cambridge, MA 02138-5715

Mailing address

122 Mount Auburn St
Cambridge, MA 02138-5715
Phone (617) 441-0101

Other practice location 1

655 S Willow St Ste 102
Manchester, NH 03103-5717
Phone (603) 206-4554

Other practice location 2

193 Kinsley St Ste 5
Nashua, NH 03060-3663
Phone (603) 514-2280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220407001061 NH Practitioner - Chiropractic 7618363292 Reassigns benefits to 1 organization
I20221011002054 MA Practitioner - Chiropractic 7618363292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Health Spine and Sport TherapyGroup PAC ID 0244491710, 5 clinicians

Practice addresses (Care Compare)

91 A N State St
Concord, NH 03301-4334
Phone (603) 724-2297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1104NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Health Spine & Sport Therapy Chiropractor CurrentSince May 15, 2023 Accepting new patients
Kendall Square Therapeutic Health Center, P.C. Chiropractor CurrentSince Aug 24, 2022 Accepting new patients

Locations

122 Mount Auburn St
Cambridge, MA 02138
Phone (617) 441-0101

91A N State St
Concord, NH 03301
Phone (603) 724-2297

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1902561384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 MOUNT AUBURN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385715",
            "telephone_number": "617-441-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 MOUNT AUBURN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385715",
            "telephone_number": "617-441-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 S Willow St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031035717",
            "country_code": "US",
            "telephone_number": "603-206-4554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "193 Kinsley St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030603663",
            "country_code": "US",
            "telephone_number": "603-514-2280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CAROLINE",
        "middle_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "1104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.