Individual provider Active NPI

Angelique Miller, D.C

  • Chiropractor
  • Lafayette, LA
National Provider Identifier
1922534734
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1791 Issued in LA
Practice address
417 Westgate Rd
Lafayette, LA 70506-2720
Phone
(337) 232-6000
Fax
(337) 466-4898
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1791 LA Primary

Addresses

Primary practice location

417 Westgate Rd
Lafayette, LA 70506-2720

Mailing address

108 Republic Ave
Suite B
Lafayette, LA 70508-6843
Phone (337) 456-6555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171018002771 LA Practitioner - Chiropractic 6103192190 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hargrave Chiropractic LLC Chiropractor CurrentSince Nov 3, 2024 Accepting new patients

Locations

417 Westgate Rd
Lafayette, LA 70506
Phone (337) 232-3353

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1922534734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 REPUBLIC AVE",
            "address_2": "SUITE B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086843",
            "telephone_number": "337-456-6555",
            "fax_number": "337-706-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 WESTGATE RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705062720",
            "telephone_number": "337-232-6000",
            "fax_number": "337-466-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANGELIQUE",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.

Verify at the official NPI Registry.