Organization Active NPI

Mile Hill Chiropractic

  • Chiropractor
  • Port Orchard, WA
National Provider Identifier
1073666780
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1706 Issued in WA
Legal business name
MILE HILL CHIROPRACTIC
Practice address
4519 SE Mile Hill Dr Ste a
Port Orchard, WA 98366-3909
Phone
(360) 871-5200
Fax
(360) 871-5350
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
David W Middendorf, D.C.
Title
Owner Chiropractor
Phone
(360) 871-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1706 WA Primary

Addresses

Primary practice location

4519 SE Mile Hill Dr Ste a
Port Orchard, WA 98366-3909

Mailing address

PO Box 525
Port Orchard, WA 98366-0525
Phone (360) 871-5200

Other identifiers 5

IdentifierTypeStateIssuer
66982OtherWADR JOYCE LABOR INDUSTRIES
138013OtherWALMP CINDY LI
0152874OtherWALMP AMANDA LI
0169804OtherWALMP ARIN LI
60732OtherWADR DAVES LABOR INDUSTRIE

National Provider Directory

National Provider Directory

Locations

4255 SE Mile Hill Dr
#101
Port Orchard, WA 98366
Phone (360) 871-5200

4519 SE Mile Hill Dr
#A
Port Orchard, WA 98366
Phone (360) 871-5200

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1073666780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 525",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983660525",
            "telephone_number": "360-871-5200",
            "fax_number": "360-871-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 SE MILE HILL DR STE A",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663909",
            "telephone_number": "360-871-5200",
            "fax_number": "360-871-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HILL CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "MIDDENDORF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "360-871-5200",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "1706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR JOYCE LABOR INDUSTRIES",
            "identifier": "66982",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMP CINDY LI",
            "identifier": "138013",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMP AMANDA LI",
            "identifier": "0152874",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMP ARIN LI",
            "identifier": "0169804",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR DAVES LABOR  INDUSTRIE",
            "identifier": "60732",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.