Mitchell L. Raich, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003173 Issued in WA

Practice address

25012 104TH Ave SE
Ste E
Kent, WA 98030-2821

Phone

(253) 854-1233

Fax

(253) 854-1297

NPI assigned

Dec 21, 2006

Last updated

Apr 23, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Raich Enterprises, LLC

  dba Quam Chiropractic

  • Chiropractor
  • Kent, WA
  • NPI 1578972360
  Medicare reassignment NPD Authorized official
• Barry a Quam DC PS

  dba Quam Chiropractic Centre

  • Chiropractor
  • Kent, WA
  • NPI 1942496773
  NPD (past)
• Chiropractic Wellness Centers PS Inc

  • Chiropractor
  • Newcastle, WA
  • NPI 1780877126
  NPD (past)
• Premier Chiropractic #1, PLLC

  • Chiropractor
  • Seatac, WA
  • NPI 1225262983
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1073677928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25012 104TH AVE SE",
            "address_2": "STE E",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980302821",
            "telephone_number": "253-854-1233",
            "fax_number": "253-854-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25012 104TH AVE SE",
            "address_2": "STE E",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980302821",
            "telephone_number": "253-854-1233",
            "fax_number": "253-854-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAICH",
        "first_name": "MITCHELL",
        "middle_name": "L.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I PROVIDER NUMBER",
            "identifier": "0188454",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHPLAN",
            "identifier": "666521",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "6777251",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "3690368",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH NETWORK",
            "identifier": "5735386",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hodan Farah Rage
• Bridget Ragland
• Raha Private Duty Nurse LLC
• Ramandeep Kaur Rai, MA3596,MA3451,MA3683
• Raich Enterprises, LLC (Quam Chiropractic)
• Jeremy Raiford
• Amy Rainey
• Rainier Dispatch LLC (Farwest Taxi)
• Samira Jumanne Rajab
• Deepa Ramdial

• Chiropractor in Kent, WA
• Providers in Kent, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.