Active NPI
Lynn M Miller, DC
- Chiropractor
- Minnetonka, MN
National Provider Identifier
1912182742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4012
- Practice address
- 14525 Hwy 7, Suite 115,
Minnetonka, MN 55345 - Phone
- (952) 746-5612
- Fax
- (952) 229-4153
- NPI assigned
- Dec 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 4012 | MN | Primary |
Addresses
Primary practice location
14525 Hwy 7, Suite 115,
Minnetonka, MN 55345
Mailing address
4739 County Road 101
Minnetonka, MN 55345-2634
Phone (952) 933-2695
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 325J4MI | Other | MN | BLUE CROSS BLUE SHEILD |
| 350001701 | Other | MN | MEDICARE PROVIDER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4012 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573689600000",
"number": "1912182742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4739 COUNTY ROAD 101",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553452634",
"telephone_number": "952-933-2695",
"fax_number": "952-933-2763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14525 HWY 7, SUITE 115,",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55345",
"telephone_number": "952-746-5612",
"fax_number": "952-229-4153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LYNN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-28",
"last_updated": "2019-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "325J4MI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER",
"identifier": "350001701",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.