Individual provider Active NPI

Heather Elaine Miller, D.C.

  • Chiropractor
  • Goshen, IN
National Provider Identifier
1912033135
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001719A Issued in IN
Practice address
2138 College Ave
Goshen, IN 46528-5004
Phone
(574) 533-0377
Fax
(574) 534-4356
NPI assigned
Feb 23, 2007
Last updated
Sep 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001719A IN Primary

Addresses

Primary practice location

2138 College Ave
Goshen, IN 46528-5004

Mailing address

2138 College Ave
Goshen, IN 46528-5004
Phone (574) 533-0377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091230000659 IN Practitioner - ChiropracticPractitioner - Diagnostic Radiology 0446391288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Diagnostic Radiology
Education
Palmer College Chiropractic - Davenport, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2138 College Ave
Goshen, IN 46528-5004
Phone (574) 533-0377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Miller Chiropractic Center, LLC Chiropractor CurrentSince Aug 1, 1997 Accepting new patients
Michiana Physical Medicine PC Past Accepting new patients

Locations

2138 College Ave
Goshen, IN 46528
Phone (574) 533-0377

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

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1912033135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 COLLEGE AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465285004",
            "telephone_number": "574-533-0377",
            "fax_number": "574-534-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 COLLEGE AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465285004",
            "telephone_number": "574-533-0377",
            "fax_number": "574-534-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "HEATHER",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001719A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.