Individual provider Active NPI

Michelle D Irwin, DC

  • Chiropractor
  • Kirkland, WA
National Provider Identifier
1013281252
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60266885 Issued in WA
Practice address
13325 100TH Ave NE
Suite D
Kirkland, WA 98034-5213
Phone
(425) 814-9664
Fax
(425) 814-7395
NPI assigned
Mar 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60266885 WA Primary

Addresses

Primary practice location

13325 100TH Ave NE
Suite D
Kirkland, WA 98034-5213

Mailing address

13325 100TH Ave NE
Suite D
Kirkland, WA 98034-5213
Phone (425) 814-9664

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130709000343 WA Practitioner - Chiropractic 4981844321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Meadows Family Chiropractic IncGroup PAC ID 3971491226, 2 clinicians

Practice addresses (Care Compare)

13325 100TH Ave NE
Suite D
Kirkland, WA 98034-5213
Phone 4258943213943213

13325 100TH Ave NE D
Kirkland, WA 98034-5213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH60266885WAMDChiropractor

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": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1013281252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13325 100TH AVE NE",
            "address_2": "SUITE D",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345213",
            "telephone_number": "425-814-9664",
            "fax_number": "425-814-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13325 100TH AVE NE",
            "address_2": "SUITE D",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345213",
            "telephone_number": "425-814-9664",
            "fax_number": "425-814-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "MICHELLE",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60266885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.