Active NPI
Kevin James Ulmer, D. C.
- Chiropractor
- Tacoma, WA
National Provider Identifier
1376660589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00003281
- Practice address
- 10422 Portland Ave E
Tacoma, WA 98445-5240 - Phone
- (253) 535-0186
- Fax
- (253) 535-8814
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | CH00003281 | WA | Primary |
Addresses
Primary practice location
10422 Portland Ave E
Tacoma, WA 98445-5240
Mailing address
PO Box 5202
Kent, WA 98064-5202
Phone (253) 520-0158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109410 | Other | DLI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10422 Portland Ave E
Tacoma, WA 98445-5240
Phone (253) 535-0186
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midland Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
Locations
10422 Portland Ave E
Tacoma, WA 98445
Phone (253) 535-0186
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 and National Provider Directory roles.
-
- Chiropractor
- Tacoma, WA
- NPI 1093953689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234310400000",
"number": "1376660589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5202",
"city": "KENT",
"state": "WA",
"postal_code": "980645202",
"telephone_number": "253-520-0158",
"fax_number": "253-854-9860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10422 PORTLAND AVE E",
"city": "TACOMA",
"state": "WA",
"postal_code": "984455240",
"telephone_number": "253-535-0186",
"fax_number": "253-535-8814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULMER",
"first_name": "KEVIN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D. C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2009-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00003281",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DLI",
"identifier": "109410",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.