Organization Active NPI

Miller-Whitmer Family Chiropractic

  • Chiropractor
  • Long Beach, MS
National Provider Identifier
1952589863
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1034 Issued in MS
Legal business name
MILLER-WHITMER FAMILY CHIROPRACTIC
Practice address
125 Jeff Davis Avenue
Long Beach, MS 39560
Phone
(228) 868-8885
Fax
(228) 868-4991
NPI assigned
Feb 1, 2008
Last updated
Mar 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Authorized official

Name
Mr. Steven Lee Miller, D.C.NPI 1174656417
Title
Provider/Owner
Phone
(228) 868-8885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1034 MS Primary

Addresses

Primary practice location

125 Jeff Davis Avenue
Long Beach, MS 39560

Mailing address

125 Jeff Davis Avenue
Long Beach, MS 39560
Phone (228) 868-8885

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120222000334 MS Part B Supplier - Clinic/Group Practice 7113185190 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, MS

National Provider Directory

National Provider Directory

Locations

20144 Pineville Rd
Ste E
Long Beach, MS 39560
Phone (228) 868-8885

125 Jeff Davis Ave
Long Beach, MS 39560
Phone (228) 346-1711

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1952589863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 JEFF DAVIS AVENUE",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "39560",
            "telephone_number": "228-868-8885",
            "fax_number": "228-868-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 JEFF DAVIS AVENUE",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "39560",
            "telephone_number": "228-868-8885",
            "fax_number": "228-868-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER-WHITMER FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "228-868-8885",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.