Active NPI
Michael David Kaufman, DC
- Chiropractor
- Bothell, WA
National Provider Identifier
1083611099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2158
- Practice address
- 18920 Bothell Way NE
#100
Bothell, WA 98011 - Phone
- (425) 486-1122
- Fax
- (425) 487-6818
- NPI assigned
- Jul 5, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 2158 | WA | Primary |
Addresses
Primary practice location
18920 Bothell Way NE
#100
Bothell, WA 98011
Mailing address
18920 Bothell Way NE
#100
Bothell, WA 98011
Phone (425) 486-1122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18920 Bothell Way NE
Suite 100
Bothell, WA 98011-1981
Phone (425) 486-1122
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2158 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bothell Regenerative Medicine | Current | Accepting new patients | |
| Kaufman Chiropractic Clinic Inc | Chiropractor | Current | Accepting new patients |
Locations
18920 Bothell Way NE
Ste 100
Bothell, WA 98011
Phone (425) 486-1122
14090 Fryelands Blvd SE
Ste 274
Monroe, WA 98272
Phone (360) 805-0112
Organizations & group practices 2
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.
-
- Chiropractor
- Bothell, WA
- NPI 1265527386
-
- Naturopath
- Bothell, WA
- NPI 1043872716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1083611099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18920 BOTHELL WAY NE",
"address_2": "#100",
"city": "BOTHELL",
"state": "WA",
"postal_code": "98011",
"telephone_number": "425-486-1122",
"fax_number": "425-487-6818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18920 BOTHELL WAY NE",
"address_2": "#100",
"city": "BOTHELL",
"state": "WA",
"postal_code": "98011",
"telephone_number": "425-486-1122",
"fax_number": "425-487-6818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMAN",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "2158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.