Individual provider Active NPI

Chad N Mills, DC

  • Chiropractor
  • Centralia, WA
National Provider Identifier
1013044908
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034049 Issued in WA
Practice address
1102 Kresky Ave
Centralia, WA 98531-3732
Phone
(360) 330-1312
Fax
(360) 330-1320
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034049 WA Primary

Addresses

Primary practice location

1102 Kresky Ave
Centralia, WA 98531-3732

Mailing address

110 Ham Rd
Centralia, WA 98531-5202
Phone (360) 330-1312

Other identifiers 8

IdentifierTypeStateIssuer
8869913OtherWACHAD PTAN
8903893OtherWAL&I CRIME
0165764OtherWAL& I GROUP
DB2803OtherWAMEDICARE RAILROAD GROUP
8349730MedicaidWA
0165765OtherWAL&I CHAD MILLS DC
8869221OtherWAMMC PTAN
P00096548OtherWAMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060215000747 WA Practitioner - Chiropractic 3274527015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miracle Mile Chiropractic PCGroup PAC ID 7416041397, 2 clinicians

Practice addresses (Care Compare)

1102 Kresky Ave
Centralia, WA 98531-3732
Phone (360) 330-1312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00034049WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Miracle Mile Chiropractic PC Chiropractor CurrentSince Aug 18, 2007 Accepting new patients

Locations

1102 Kresky Ave
Centralia, WA 98531
Phone (360) 330-1312

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1013044908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HAM RD",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985315202",
            "telephone_number": "360-330-1312",
            "fax_number": "360-330-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 KRESKY AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985313732",
            "telephone_number": "360-330-1312",
            "fax_number": "360-330-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "CHAD",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAD PTAN",
            "identifier": "8869913",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I CRIME",
            "identifier": "8903893",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L& I GROUP",
            "identifier": "0165764",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "DB2803",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8349730",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I CHAD MILLS DC",
            "identifier": "0165765",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMC PTAN",
            "identifier": "8869221",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00096548",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.