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MILLER CHIROPRACTIC OF FAIR OAKS,PC
NPI 1487805958
Chiropractor in Fairfax, VA

Active since October 02, 2008
12011 LEE JACKSON HWY, SUITE 100, FAIRFAX, VA 22033(703) 352-0706 Get Directions Write a Review

NPPES record last updated: October 2, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miller Chiropractic Of Fair Oaks,pc NPPES

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

MILLER CHIROPRACTIC OF FAIR OAKS,PC (NPI 1487805958) is a healthcare organization registered as a chiropractor in Fairfax, Virginia and active in the NPI registry since October 2008. The organization lists Mark Herman Miller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487805958
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMILLER CHIROPRACTIC OF FAIR OAKS,PC
Location Address12011 LEE JACKSON HWY, SUITE 100Fairfax, VA 22033-3310
Mailing Address12011 Lee Jackson Hwy, Suite 100Fairfax, VA 22033-3310 · (703) 352-0706
Phone(703) 352-0706
Organization SubpartNo
Authorized OfficialMark Herman MillerCeo · (703) 352-0706
Enumeration DateOctober 2, 2008
✔ NPI 1487805958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in VA · 0104001118
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.
12011 LEE JACKSON HWY, Fairfax, VA 22033
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miller Chiropractic Of Fair Oaks,pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateDistrict of ColumbiaEnrollment IDO20081003000461Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Miller Chiropractic Of Fair Oaks,pc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mark Miller, DC
Chiropractic
NPI 1811192313
12011 LEE JACKSON HWY SUITE 100
Fairfax, VA 22033
(703) 352-0706
✔ Accepts MedicareSame address

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

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 Miller Chiropractic Of Fair Oaks,pc's NPI number?

The NPI number for Miller Chiropractic Of Fair Oaks,pc is 1487805958. It was assigned to this organization in the NPPES registry on October 2, 2008.

Where is Miller Chiropractic Of Fair Oaks,pc located?

Miller Chiropractic Of Fair Oaks,pc is located at 12011 Lee Jackson Hwy Suite 100, Fairfax, VA 22033. The listed phone number is (703) 352-0706.

What is Miller Chiropractic Of Fair Oaks,pc's specialty?

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

Is Miller Chiropractic Of Fair Oaks,pc enrolled in Medicare?

Yes. Miller Chiropractic Of Fair Oaks,pc is registered in the Medicare PECOS enrollment system.

When is Miller Chiropractic Of Fair Oaks,pc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (District of Columbia, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Miller Chiropractic Of Fair Oaks,pc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Miller Chiropractic Of Fair Oaks,pc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Miller Chiropractic Of Fair Oaks,pc was last updated on October 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.