Cecelia Mikles, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60533863 Issued in WA

Practice address

200 E 25TH St
Vancouver, WA 98663-3219

Phone

(360) 798-5652

Fax

(360) 992-9242

NPI assigned

Mar 9, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306239884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 25TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633219",
            "telephone_number": "360-798-5652",
            "fax_number": "360-992-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 25TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633219",
            "telephone_number": "360-798-5652",
            "fax_number": "360-992-9242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 SE 192nd Ave",
            "address_2": "Ste, 107",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986831472",
            "country_code": "US",
            "telephone_number": "360-882-7733",
            "fax_number": "360-254-6821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKLES",
        "first_name": "CECELIA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "CH60533863",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60533863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXPAYER IDENTIFICATION NUMBER",
            "identifier": "47-5513415",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mike'S Eastside Drugs
• Mikes Drugs
• Mikes Eastside Drugs
• Heather Mikes
• Victoria Mikhailenko
• Wendy L. Mikota, LPC
• Shaun Mikowski, DC
• Lyudmila Mikutina, RDH
• Terry D Milam, MD
• Philip Milatovich, BA,BS,MS

• Chiropractor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.