Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jerrald C Miller, DC

Individual provider Chiropractor · NPI 1104992379

Dr. Jerrald C Miller, DC is a Chiropractic in Shakopee, Minnesota. Graduated from Northwestern College of Chiropractic in 2006, 20 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
20
Trained at
Northwestern College of Chiropractic
Licensed in
MN
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

135 1st Ave E
Shakopee, MN 55379-1309
Phone: (952) 378-1813
Fax: (952) 378-1826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 4822 (MN)

Record details

NPI number1104992379
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedNovember 28, 2006
Last updated in NPPESDecember 17, 2015
Mailing address135 1st Ave E, Shakopee, MN 55379-1309

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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