Active NPI
Mile Hill Chiropractic
- Chiropractor
- Port Orchard, WA
National Provider Identifier
1073666780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1706
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66982 | Other | WA | DR JOYCE LABOR INDUSTRIES |
| 138013 | Other | WA | LMP CINDY LI |
| 0152874 | Other | WA | LMP AMANDA LI |
| 0169804 | Other | WA | LMP ARIN LI |
| 60732 | Other | WA | DR DAVES LABOR INDUSTRIE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Massage Therapist
- Port Orchard, WA
- NPI 1306983598
-
- Massage Therapist
- Port Orchard, WA
- NPI 1003952789
-
- Massage Therapist
- Port Orchard, WA
- NPI 1417093196
-
- Chiropractor
- Port Orchard, WA
- NPI 1750545349
-
- Chiropractor
- Port Orchard, WA
- NPI 1659312049
-
- Chiropractor
- Port Orchard, WA
- NPI 1861583767
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.