Active NPI
David John Mikula, D.C.
- Chiropractor
- State College, PA
National Provider Identifier
1215959374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC005374L
- Practice address
- 1343 N Atherton St
State College, PA 16803-2932 - Phone
- (814) 234-6699
- Fax
- (814) 234-6899
- NPI assigned
- Jul 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | DC005374L | PA | Primary |
Addresses
Primary practice location
1343 N Atherton St
State College, PA 16803-2932
Mailing address
1343 N Atherton St
State College, PA 16803-2932
Phone (814) 234-6699
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MI1346487 | Other | PR | PA BLUE SHIELD |
| 03087900 | Other | PA | CAPITAL BLUE CROSS |
| MI20627 | Other | PA | HIGHMARK |
| 355775 | Other | PA | KEYSTONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1343 N Atherton St
State College, PA 16803-2932
Phone (814) 234-6699
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atherton Back & Neck Care Center | Chiropractor | Current | Accepting new patients |
Locations
1343 N Atherton St
State College, PA 16803
Phone (814) 234-6699
Organizations & group practices 1
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.
-
dba Mikula Chiropractic
- Chiropractor
- State College, PA
- NPI 1528087533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215959374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1343 N ATHERTON ST",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168032932",
"telephone_number": "814-234-6699",
"fax_number": "814-234-6899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1343 N ATHERTON ST",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168032932",
"telephone_number": "814-234-6699",
"fax_number": "814-234-6899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKULA",
"first_name": "DAVID",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC005374L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BLUE SHIELD",
"identifier": "MI1346487",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "03087900",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "MI20627",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "355775",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.