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DR. KIM C MILLER DC, ATC
NPI 1003840711
Chiropractor in Vestal, NY

Active since July 10, 2006
130 FRONT ST, SUITE B, VESTAL, NY 13850(607) 786-3601(607) 834-7029 Get Directions Write a Review

NPPES record last updated: January 12, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Kim C Miller Dc, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIM C MILLER DC, ATC (NPI 1003840711) is an individual chiropractor in Vestal, New York, licensed in New York (X00996-1) and active in the NPI registry since July 2006. He is a graduate of New York Chiropractic College (2000).

NPPES Registry Identity

NPI1003840711
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KIM C MILLERCredential: DC, ATC
Location Address130 FRONT ST, SUITE BVestal, NY 13850-1562
Mailing Address130 Front St, Suite BVestal, NY 13850-1562 · (607) 786-3601 · Fax (607) 834-7029
Phone(607) 786-3601
Fax(607) 834-7029
Sole ProprietorYes
Medical School CMSNew York Chiropractic CollegeGraduated 2000
Enumeration DateJuly 10, 2006
Last NPPES UpdateJanuary 12, 2015
✔ NPI 1003840711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · X00996-1
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
130 FRONT ST, Vestal, NY 13850
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Other Identifiers 3

Other100651380167NY · Cdphp
Medicare PINJ100061542NY
Other000143666NY · Bc/bs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kim C Miller Dc, Atc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193991065
PECOS Enrollment IDI20120117000150

Medicare Billing Reassignment

Medicare enrollment records show Kim Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellness Sport & Spine Chiropractic PLLC
Same address
Chiropractor
130 FRONT ST
Vestal, NY 13850
  • Reassigned Medicare billing, New York enrollment
NPI 1417009283 (607) 786-3601

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELLNESS SPORT & SPINE CHIROPRACTIC PLLC
Chiropractor
130 FRONT ST
VESTAL, NY 13850
Broome County (607) 786-3601
DR. ARTHUR WILLIAM FRENZ PH.D.
Psychologist (Clinical)
130 FRONT ST, SUITE 1
VESTAL, NY 13850
Broome County (607) 741-1212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Miller's NPI number?

The NPI number for Kim Miller is 1003840711. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Kim Miller located?

Kim Miller practices at 130 Front St Suite B, Vestal, NY 13850. The listed phone number is (607) 786-3601.

What is Kim Miller's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kim Miller enrolled in Medicare?

Yes. Kim Miller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kim Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Miller reassigns Medicare benefits to Wellness Sport & Spine Chiropractic PLLC (Vestal, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kim Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kim Miller was last updated on January 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.