=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588858427
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DAVID EDWARD MILLER D.C.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/04/2007
-----------------------------------------------------
Last Update Date | 10/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 CITY PL APT 2206
-----------------------------------------------------
City | WHITE PLAINS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10601-3348
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-486-6723
-----------------------------------------------------
Fax | 718-824-2240
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1725 KING ST
-----------------------------------------------------
City | SANTA ROSA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95404-2916
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 707-843-6388
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 013817
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------