Individual provider Active NPI

Steven Andrew Mikulak, D.C.

  • Chiropractor
  • Rockford, MI
National Provider Identifier
1043475841
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009528 Issued in MI
Practice address
65 S Main St Ste 105
Rockford, MI 49341-1286
Phone
(616) 866-0150
Fax
(616) 866-7771
NPI assigned
Jul 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009528 MI Primary

Addresses

Primary practice location

65 S Main St Ste 105
Rockford, MI 49341-1286

Mailing address

65 S Main St Ste 105
Rockford, MI 49341-1286
Phone (616) 866-0150

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090814000610 MI Practitioner - Chiropractic 7113071853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steven Mikulak DC PLCGroup PAC ID 9638358237, 2 clinicians

Practice addresses (Care Compare)

65 S Main St
Suite 105
Rockford, MI 49341-1287
Phone (616) 866-0150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009528MIMDChiropractor

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": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1043475841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 S MAIN ST STE 105",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411286",
            "telephone_number": "616-866-0150",
            "fax_number": "616-866-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 S MAIN ST STE 105",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411286",
            "telephone_number": "616-866-0150",
            "fax_number": "616-866-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKULAK",
        "first_name": "STEVEN",
        "middle_name": "ANDREW",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.