Individual provider Active NPI

Douglas C. Miller, D.C.

  • Chiropractor
  • Baltimore, MD
National Provider Identifier
1922147495
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01571 Issued in MD
Practice address
3739 Wilkens Ave
Baltimore, MD 21229-5035
Phone
(410) 646-2222
Fax
(410) 646-2502
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01571 MD Primary

Addresses

Primary practice location

3739 Wilkens Ave
Baltimore, MD 21229-5035

Mailing address

3739 Wilkens Ave
Baltimore, MD 21229-5035
Phone (410) 646-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120525000396 MD Practitioner - Chiropractic 7214190487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

405 Frederick Rd
Suite 258
Cantonsville, MD 21228-4645
Phone (410) 646-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01571MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas C Miller D C P a Chiropractor CurrentSince Oct 1, 1994 Accepting new patients

Locations

3739 Wilkens Ave
Baltimore, MD 21229
Phone (410) 646-2222

405 Frederick Rd
Ste 258
Catonsville, MD 21228
Phone (410) 646-2222

Organizations & group practices 1

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336435200000",
    "number": "1922147495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3739 WILKENS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295035",
            "telephone_number": "410-646-2222",
            "fax_number": "410-646-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3739 WILKENS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295035",
            "telephone_number": "410-646-2222",
            "fax_number": "410-646-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DOUGLAS",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2012-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

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