Individual provider Active NPI

Michael Louis Meier, DC

  • Chiropractor
  • Everett, WA
National Provider Identifier
1124026463
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
252-02 0002561 Issued in WA
Practice address
909 SE Everett Mall Way
Ste C319
Everett, WA 98208-3753
Phone
(425) 252-2744
Fax
(855) 562-6981
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 252-02 0002561 WA Primary

Addresses

Primary practice location

909 SE Everett Mall Way
Ste C319
Everett, WA 98208-3753

Mailing address

909 SE Everett Mall Way
Ste C319
Everett, WA 98208-3753
Phone (425) 252-2744

Other identifiers 5

IdentifierTypeStateIssuer
12120OtherWAAMERICAN WHOLE HEALTH NET
2013530MedicaidWA
55217OtherWADEPT LABOR AND INDUSTRIES
317728-001OtherWAGROUP HEALTH
ME0045OtherWAREGENCE BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080819000208 WA Practitioner - Chiropractic 5597830018 Practice locations: Everett, WA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

909 SE Everett Mall Way
Suite C319
Everett, WA 98208-3753
Phone (425) 252-2744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
252-02 0002561WAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1124026463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 SE EVERETT MALL WAY",
            "address_2": "STE C319",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083753",
            "telephone_number": "425-252-2744",
            "fax_number": "855-562-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SE EVERETT MALL WAY",
            "address_2": "STE C319",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083753",
            "telephone_number": "425-252-2744",
            "fax_number": "855-562-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIER",
        "first_name": "MICHAEL",
        "middle_name": "LOUIS",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "252-02 0002561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN WHOLE HEALTH NET",
            "identifier": "12120",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2013530",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT LABOR AND INDUSTRIES",
            "identifier": "55217",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "317728-001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "ME0045",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.