Active NPI
Zahida Mitha
- Chiropractor
- Vancouver, WA
National Provider Identifier
1215492244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.013289
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 038.013289 | IL | MD | Chiropractor |
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.