Thomas William Miller, D.C.

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

1759 Issued in MN

Practice address

11417 Hanson Blvd NW
Suite 101
Coon Rapids, MN 55433-3719

Phone

(763) 754-1482

Fax

(763) 754-6116

NPI assigned

Jun 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Shanna C Miller, DC PLLC

  • Clinic/Center
  • Coon Rapids, MN
  • NPI 1982979100
  NPD

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1902843600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11417 HANSON BLVD NW",
            "address_2": "SUITE 101",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333719",
            "telephone_number": "763-754-1482",
            "fax_number": "763-754-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11417 HANSON BLVD NW",
            "address_2": "SUITE 101",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333719",
            "telephone_number": "763-754-1482",
            "fax_number": "763-754-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "THOMAS",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "MN",
            "license": "1759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "223027500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesse Miller
• Kayla Joy Miller, PA-C
• Linda M Miller, CRNA
• Mary S Miller, CRNA
• Ronette C Miller
• Jeffrey Mills
• Erica Milton, LICSW
• Trinity Anastia Milton
• Michael X Min, M.D.
• Mind Health Services LLC

• Internist Chiropractor in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Internist Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.