Active NPI
Michael A. Mihelich, D.C.
- Chiropractor
- Mesquite, TX
National Provider Identifier
1023180684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2842
- Practice address
- 2515 Gus Thomasson Rd
Mesquite, TX 75150-5398 - Phone
- (972) 279-3663
- Fax
- (972) 279-3664
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2842 | TX | Primary |
Addresses
Primary practice location
2515 Gus Thomasson Rd
Mesquite, TX 75150-5398
Mailing address
2515 Gus Thomasson Rd
Mesquite, TX 75150-5398
Phone (972) 279-3663
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00707464 | Other | TX | UNITED HEALTHCARE |
| 149777 | Medicaid | TX | |
| 4097770 | Other | TX | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2842 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023180684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2515 GUS THOMASSON RD",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751505398",
"telephone_number": "972-279-3663",
"fax_number": "972-279-3664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 GUS THOMASSON RD",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751505398",
"telephone_number": "972-279-3663",
"fax_number": "972-279-3664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIHELICH",
"first_name": "MICHAEL",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "2842",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "00707464",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149777",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4097770",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesquite, TX
- Metx LLC
- MHS-Missioncare Health Services, Inc. (Missioncare Health Services)
- Hassanatu Michael, NP
- Michel Stephan MD PA (Texas Surgery Associates)
- Elizabeth B Michiels, MS CCC/SLP
- Mikah House for Hope LLC
- Millennial Transportation Services (Krista Mitchell)
- Grace Ganuelas Miller, LPT
- Lance J Miller, D.O.
- Linus J Miller, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.