Miles Mitchell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00002478 Issued in WA

Practice address

7100 Fun Center Way
Ste 120
Tukwila, WA 98188-5540

Phone

(206) 932-1101

NPI assigned

Feb 14, 2007

Last updated

May 9, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

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.

• Jet One LLC

  dba Admirals Parkside Chiropractic

  • Chiropractor
  • Seattle, WA
  • NPI 1942599360
  Authorized official Same address or phone

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1427191345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 FUN CENTER WAY",
            "address_2": "STE 120",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981885540",
            "telephone_number": "206-932-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 FUN CENTER WAY",
            "address_2": "STE 120",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981885540",
            "telephone_number": "206-932-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MILES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel S. Minagawa, D.D.S.
• Simarpreet K Minhas
• Brayden Anthony Miranda, PHARMD
• Kylie Elizabeth Mitchell, BS
• Lander Mitchell
• Ryan Mitchell
• Shane Mitchell
• Abshir Mohamed
• Ismael Mohamed
• Mumtaz Mohamed

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.