Individual provider Active NPI

Michael Alan Miller, D.C.

  • Sports Physician Chiropractor
  • Norwood, MA
National Provider Identifier
1932295359
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
535 Issued in MA
Practice address
884 Washington St
Norwood, MA 02062-3470
Phone
(781) 762-5600
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 535 MA Primary

Addresses

Primary practice location

884 Washington St
Norwood, MA 02062-3470

Mailing address

884 Washington St
Norwood, MA 02062-3470
Phone (781) 762-5600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060425000470 MA Practitioner - Chiropractic 3870503642 Reassigns benefits to 1 organization
Practice locations: Norwood, MA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1979
Medicare assignment
May accept Medicare assignment
Group practices
Dr. Michael a. Miller, Chiropractic Physician, P.C.Group PAC ID 2365733615, 2 clinicians

Practice addresses (Care Compare)

884 Washington St
Norwood, MA 02062-3470
Phone (781) 762-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
535MAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Michael a. Miller, Chiropractic Physician, P.C. Sports Physician CurrentSince Apr 3, 2016 Accepting new patients
Dr. Michael a. Miller, Chiropractic Physician, P.C. Sports Physician Past Accepting new patients

Locations

884 Washington St
Norwood, MA 02062
Phone (781) 762-5600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932295359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 WASHINGTON ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623470",
            "telephone_number": "781-762-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "884 WASHINGTON ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623470",
            "telephone_number": "781-762-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MA",
            "license": "535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.