John Anthony Mishko, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00001846 Issued in WA

Practice address

1950 Pottery Ave.
Suite #5
Port Orchard, WA 98366

Phone

(360) 876-6096

Fax

(360) 876-6096

NPI assigned

Sep 13, 2006

Last updated

Jun 6, 2008By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mykal and Associates Inc

  • Chiropractor
  • Port Orchard, WA
  • NPI 1508952854
  Authorized official Same address or phone

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1114022373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 POTTERY AVE.",
            "address_2": "SUITE #5",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "98366",
            "telephone_number": "360-876-6096",
            "fax_number": "360-876-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 POTTERY AVE.",
            "address_2": "SUITE #5",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "98366",
            "telephone_number": "360-876-6096",
            "fax_number": "360-876-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHKO",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0205258",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miller Chiropractic, Inc.
• Eric W Miller, DC
• Jennifer Miller, COTA
• Corenna Millet Klimp, L.M.P.
• Cristopher Mangalindan Miranda, ARNP
• Robert M Mobus
• Adric Moe
• Patrick Moe
• Ronald Eugene Mogensen, LMP
• Anna Rose Melisie Monroe, ARNP

• Chiropractor in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.

Verify at the official NPI Registry.