Active NPI
Michael Miller, D.C.
- Chiropractor
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 16063
- Practice address
- 201 W Van Asche Loop
Fayetteville, AR 72703-4996 - Phone
- (479) 996-4491
- Fax
- (479) 966-4311
- NPI assigned
- Mar 13, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | 2014003605 | MO | |
| Chiropractor | 111N00000X | 16063 | AR | Primary |
Addresses
Primary practice location
201 W Van Asche Loop
Fayetteville, AR 72703-4996
Mailing address
PO Box 251420
Little Rock, AR 72225-1420
Phone (501) 686-8000
Other practice location 1
2525 S Market St
Rogers
Rogers, AR 72758-8163
Phone (870) 236-5062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Other | MO | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16063 | AR | MD | Chiropractor |
| 2014003605 | MO | MD | Internist Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients |
Locations
201 W Van Asche Loop
Fayetteville, AR 72703
Phone (479) 966-4055
1125 N College Ave
Fayetteville, AR 72703
Phone (479) 521-8260
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
Organizations & group practices 3
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.
-
- Physical Therapist
- Fayetteville, AR
- NPI 1427461045
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
-
- General Practice Dentistry
- Little Rock, AR
- NPI 1760843247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1922424035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 251420",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722251420",
"telephone_number": "501-686-8000",
"fax_number": "501-526-5148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W VAN ASCHE LOOP",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034996",
"telephone_number": "479-996-4491",
"fax_number": "479-966-4311"
}
],
"practiceLocations": [
{
"address_1": "2525 S Market St",
"address_2": "Rogers",
"address_purpose": "LOCATION",
"city": "Rogers",
"state": "AR",
"postal_code": "727588163",
"country_code": "US",
"telephone_number": "870-236-5062",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "MICHAEL",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-13",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "MO",
"license": "2014003605",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "16063",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "PENDING",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.