Individual provider Active NPI

Mitchell A Katz, D.C.

  • Chiropractor
  • Port St Lucie, FL
National Provider Identifier
1407929573
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH15802 Issued in FL
Practice address
8980 S US Highway 1 Ste 104
Port St Lucie, FL 34952-3482
Phone
(847) 845-3232
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH15802 FL Primary

Addresses

Primary practice location

8980 S US Highway 1 Ste 104
Port St Lucie, FL 34952-3482

Mailing address

8980 S US Highway 1 Ste 104
Port St Lucie, FL 34952-3482
Phone (772) 279-8048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130513000325 IL Practitioner - Chiropractic 5890932735 Reassigns benefits to 1 organization
I20260608001725 FL Practitioner - Chiropractic 5890932735 Practice locations: Port St Lucie, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH15802FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Centre of Highland Park, Inc Chiropractor CurrentSince Jan 30, 2024 Accepting new patients
Wholehealth Chicago-3 Chiropractor CurrentSince May 1, 2024 Accepting new patients

Locations

2265 N Clybourn Ave
#16
Chicago, IL 60614

2265 N Clybourn Ave
Chicago, IL 60614
Phone (773) 296-6700

210 Skokie Valley Rd
Ste 7
Highland Park, IL 60035
Phone (847) 266-7246

240 Saunders Rd
Riverwoods, IL 60015
Phone (847) 236-1701

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

240 Saunders Rd
Riverwoods, IL 60015-3835
Phone (773) 296-6700

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1407929573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8980 S US HIGHWAY 1 STE 104",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523482",
            "telephone_number": "772-279-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8980 S US HIGHWAY 1 STE 104",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523482",
            "telephone_number": "847-845-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "MITCHELL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.

Verify at the official NPI Registry.