Active NPI
Shanna C Miller, DC PLLC
- Clinic/Center
- Coon Rapids, MN
National Provider Identifier
1982979100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 5585
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Acupuncturist
- Coon Rapids, MN
- NPI 1114629615
-
- Internist Chiropractor
- Coon Rapids, MN
- NPI 1902843600
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.