Individual provider Active NPI

Paul John Miller, D.C.

  • Chiropractor
  • Missoula, MT
National Provider Identifier
1962430116
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
683 Issued in MT
Practice address
1004 South Ave W
Missoula, MT 59801-7909
Phone
(406) 721-4588
Fax
(406) 721-1078
NPI assigned
Jun 28, 2006
Last updated
Mar 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 683 MT Primary

Addresses

Primary practice location

1004 South Ave W
Missoula, MT 59801-7909

Mailing address

1004 South Ave W
Missoula, MT 59801-7909
Phone (406) 721-4588

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071128000379 MT Practitioner - Chiropractic 7315036399

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2432 W Central Ave
Missoula, MT 59801-6464
Phone (406) 721-4588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
683MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Paul J. Miller, D.C., P.C. Chiropractor CurrentSince Nov 19, 2007 Accepting new patients

Locations

1004 South Ave W
Missoula, MT 59801
Phone (406) 396-3500

2100 Stephens Ave
Ste 118
Missoula, MT 59801
Phone (406) 721-1078

2432 W Central Ave
Missoula, MT 59801

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1962430116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 SOUTH AVE W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017909",
            "telephone_number": "406-721-4588",
            "fax_number": "406-721-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 SOUTH AVE W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017909",
            "telephone_number": "406-721-4588",
            "fax_number": "406-721-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PAUL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.