Active NPI
John A. Miller, D.C.
- Chiropractor
- Mishawaka, IN
National Provider Identifier
1952493074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 508
- Practice address
- 535 Lincolnway West
Mishawaka, IN 46544-1800 - Phone
- (574) 255-2268
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 508 | IN | Primary |
| Chiropractor | 111N00000X | 3470 | KY |
Addresses
Primary practice location
535 Lincolnway West
Mishawaka, IN 46544-1800
Mailing address
535 Lincolnway West
Mishawaka, IN 46544-1800
Phone (574) 255-2268
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000203589 | Other | BCBS |
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 |
|---|---|---|---|
| 508 | IN | MD | Chiropractor |
| 3470 | KY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296518400000",
"number": "1952493074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 LINCOLNWAY WEST",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465441800",
"telephone_number": "574-255-2268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 LINCOLNWAY WEST",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465441800",
"telephone_number": "574-255-2268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JOHN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2011-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "508",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "3470",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000203589",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.