Individual provider Active NPI

Michael David Kaufman, DC

  • Chiropractor
  • Bothell, WA
National Provider Identifier
1083611099
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2158 Issued in WA
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

Updated by the provider on Jul 13, 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 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

Enrollment IDStateProvider typePAC IDDetails
I20120125000865 WA Practitioner - Chiropractic 7214840172 Reassigns benefits to 1 organization

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
Kaufman Chiropractic Clinic IncGroup PAC ID 0244143105, 8 clinicians

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

LicenseStateTypeSpecialty
2158WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bothell Regenerative Medicine CurrentSince Feb 7, 2017 Accepting new patients
Kaufman Chiropractic Clinic Inc Chiropractor CurrentSince Feb 7, 2017 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.

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.

Verify at the official NPI Registry.