David George Mioduski, L. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00000621 Issued in WA

Practice address

10627 NE 68TH St
Kirkland, WA 98033-7054

Phone

(206) 226-3269

Fax

(425) 702-0466

NPI assigned

May 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316153448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 159TH CT NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525267",
            "telephone_number": "206-226-3269",
            "fax_number": "425-702-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10627 NE 68TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337054",
            "telephone_number": "206-226-3269",
            "fax_number": "425-702-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIODUSKI",
        "first_name": "DAVID",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "L. AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00000621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt William Mills, O.D.
• Lacy Milonas, MA, MHP, LMHCA
• Pauline Mumbua Minnis
• Dennis Stephen Minno, MA
• Garland Minor
• Cora Belle Miranda
• Michelle Ariadna Miranda
• Rayna Mitchell-Rose
• Anjelette Fae Mitchell, MS, CCC-SLP
• Jenna Catherine Mitchell

• Acupuncturist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Acupuncturist in Washington

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.