Midland Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003281 Issued in WA

Legal business name

MIDLAND CHIROPRACTIC PLLC

Practice address

10422 Portland Ave E
Tacoma, WA 98445-5240

Phone

(253) 535-0186

Fax

(253) 535-8814

NPI assigned

Feb 4, 2009

Organization subpart

No

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

Authorized official

Name

Kevin Ulmer, DCNPI 1376660589

Title

Owner

Phone

(253) 535-0186

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

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

• Kevin James Ulmer, D. C.

  • Chiropractor
  • Tacoma, WA
  • NPI 1376660589
  Medicare reassignment NPD Authorized official
• Martin Guy, LMP

  • Massage Therapist
  • Tacoma, WA
  • NPI 1073847653
  NPD (past)

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1093953689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5202",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980645202",
            "telephone_number": "253-520-0158",
            "fax_number": "253-854-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10422 PORTLAND AVE E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984455240",
            "telephone_number": "253-535-0186",
            "fax_number": "253-535-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "ULMER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-535-0186",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2024255",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "UL6768",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DLI",
            "identifier": "109410",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie H Michelson, SUDPT
• Katherine Mickey, RN
• Joshua Levi Middlebrook, PA-C
• Carol L Middleton
• Clara Middleton, RC
• William Robert Miele, MD
• Christopher Mierek, M.D.
• Jesse Lee Mierzwiak, MD
• Bianca Celeste Mifflin
• Jhoana Christie Miguel, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.