Individual provider Active NPI

Zahida Mitha

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1215492244
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013289 Issued in IL
Practice address
14403 NE Fourth Plain Blvd Ste 110
Vancouver, WA 98682-5001
Phone
(360) 326-8021
NPI assigned
Feb 4, 2019
Last updated
Feb 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 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 038.013289 IL Primary

Addresses

Primary practice location

14403 NE Fourth Plain Blvd Ste 110
Vancouver, WA 98682-5001

Mailing address

2625 Butterfield Rd Ste 301N
Oak Brook, IL 60523-1266
Phone (630) 468-1824

Other practice location 1

1440 N Lake Shore Dr Apt 11B
Chicago, IL 60610-1684
Phone (804) 909-2992

Other practice location 2

1440 N Lake Shore Dr Apt 11B
Chicago, IL 60610-1684
Phone (804) 909-2992

Other practice location 3

2210 Camden Ct
Oak Brook, IL 60523
Phone (630) 468-1824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013289ILMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1215492244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD STE 301N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231266",
            "telephone_number": "630-468-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14403 NE FOURTH PLAIN BLVD STE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986825001",
            "telephone_number": "360-326-8021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1440 N Lake Shore Dr Apt 11B",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606101684",
            "country_code": "US",
            "telephone_number": "804-909-2992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1440 N Lake Shore Dr Apt 11B",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606101684",
            "country_code": "US",
            "telephone_number": "804-909-2992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2210 Camden Ct",
            "address_purpose": "LOCATION",
            "city": "Oak Brook",
            "state": "IL",
            "postal_code": "60523",
            "country_code": "US",
            "telephone_number": "630-468-1824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITHA",
        "first_name": "ZAHIDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.