Individual provider Active NPI

Nicholas Mueller, DC

  • Chiropractor
  • Ann Arbor, MI
National Provider Identifier
1528724770
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301011121 Issued in MI
Practice address
4900 Jackson Rd Ste D
Ann Arbor, MI 48103-1876
Phone
(419) 215-9201
NPI assigned
Nov 11, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301011121 MI Primary

Addresses

Primary practice location

4900 Jackson Rd Ste D
Ann Arbor, MI 48103-1876

Mailing address

4900 Jackson Rd Ste D
Ann Arbor, MI 48103-1876

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Platinum

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211222001676 MI Practitioner - Chiropractic 9537558127 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301011121MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge Spine and Wellness, LLC Chiropractor CurrentSince Nov 11, 2021 Accepting new patients

Locations

4900 Jackson Rd
Ste D
Ann Arbor, MI 48103
Phone (419) 215-9201

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.

NPI Registry JSON

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1528724770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 JACKSON RD STE D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 JACKSON RD STE D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031876",
            "telephone_number": "419-215-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301011121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Platinum",
            "affiliation": "N",
            "address_1": "4900 Jackson Rd Ste D",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481031876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.