Organization Active NPI

Miller Chiropractic and Wellness Inc

  • Chiropractor
  • St Petersburg, FL
National Provider Identifier
1982621314
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8123 Issued in FL
Legal business name
MILLER CHIROPRACTIC AND WELLNESS INC
Practice address
1228 66TH Street N
St Petersburg, FL 33710-6226
Phone
(727) 384-6168
Fax
(727) 384-6158
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Authorized official

Name
Jason Donald Miller, DCNPI 1215038500
Title
Physician
Phone
(727) 384-6168

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8123 FL Primary

Addresses

Primary practice location

1228 66TH Street N
St Petersburg, FL 33710-6226

Mailing address

1228 66TH Street N
St Petersburg, FL 33710-6226
Phone (727) 384-6168

Other identifiers 3

IdentifierTypeStateIssuer
382042400MedicaidFL
K9133OtherFLMEDICARE PTAN
60949OtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060120000089 FL Part B Supplier - Clinic/Group Practice 5890719538 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Petersburg, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1982621314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 66TH STREET N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337106226",
            "telephone_number": "727-384-6168",
            "fax_number": "727-384-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 66TH STREET N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337106226",
            "telephone_number": "727-384-6168",
            "fax_number": "727-384-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER CHIROPRACTIC AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "727-384-6168",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382042400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K9133",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "60949",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.