Keith C. Miller P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4081 Issued in AZ

Legal business name

KEITH C. MILLER P.C.

Practice address

1940 W Baseline Rd
Suite 7
Mesa, AZ 85202-9066

Phone

(480) 345-2900

Fax

(480) 345-2900

NPI assigned

Aug 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Keith C Miller, D.C.

Title

Owner

Phone

(480) 345-2900

Specialties & licenses 1

Addresses

Other names 1

• Chiropractic Care Center Other name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Keith C Miller P C., DC

  • Chiropractor
  • Mesa, AZ
  • NPI 1558384701
  Medicare reassignment NPD

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1992053268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 W BASELINE RD",
            "address_2": "SUITE 7",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852029066",
            "telephone_number": "480-345-2900",
            "fax_number": "480-345-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 W BASELINE RD",
            "address_2": "SUITE 7",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852029066",
            "telephone_number": "480-345-2900",
            "fax_number": "480-345-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH C. MILLER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-345-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amanda Michele Keenhold, DNP, PMHNP
• Barbara A Keesee, LMSW
• Breena Jean Keesler, PTA
• John Kehoe, L.I.S.W.
• Kristen Marie Keil
• Keith M Rogers DDS PC
• Dennis George Keith II, D.V.M.
• Kazhra Angelique Mayan Kelcho
• Renee L Kelderhouse, M.S., CCC-SLP
• Duke Keller, D.O

• Chiropractor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.