Organization Active NPI

Shanna C Miller, DC PLLC

  • Clinic/Center
  • Coon Rapids, MN
National Provider Identifier
1982979100
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
5585 Issued in MN
Legal business name
SHANNA C MILLER, DC PLLC
Practice address
11417 Hanson Blvd NW
St 101
Coon Rapids, MN 55433-3993
Phone
(763) 754-1482
Fax
(763) 754-6116
NPI assigned
Mar 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Dr. Shanna Colleen Miller, DC
Title
Owner/ Chiropractor
Phone
(763) 754-1482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 5585 MN Primary

Addresses

Primary practice location

11417 Hanson Blvd NW
St 101
Coon Rapids, MN 55433-3993

Mailing address

11417 Hanson Blvd NW
Coon Rapids, MN 55433-3992
Phone (763) 754-1482

National Provider Directory

National Provider Directory

Locations

11417 Hanson Blvd NW
Coon Rapids, MN 55433

11417 Hanson Blvd NW
Ste 101
Minneapolis, MN 55433
Phone (763) 754-1482

Practitioners & affiliated clinicians

Practitioners 2

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": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1982979100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11417 HANSON BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333992",
            "telephone_number": "763-754-1482",
            "fax_number": "763-754-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11417 HANSON BLVD NW",
            "address_2": "ST 101",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333993",
            "telephone_number": "763-754-1482",
            "fax_number": "763-754-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNA C MILLER, DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_middle_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "763-754-1482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "5585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.