NPIMap

Individual provider Active NPI

Joyce K Middendorf, D.C.

  • Chiropractor
  • Port Orchard, WA
National Provider Identifier
1659312049
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH1707 Issued in WA
Practice address
4255 SE Mile Hill Dr
Suite 101
Port Orchard, WA 98366-3920
Phone
(360) 871-5200
Fax
(360) 871-5350
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH1707 WA Primary

Addresses

Primary practice location

4255 SE Mile Hill Dr
Suite 101
Port Orchard, WA 98366-3920

Mailing address

4255 SE Mile Hill Dr
Suite 101
Port Orchard, WA 98366-3920
Phone (360) 871-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH1707WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mile Hill Chiropractic Chiropractor Past Accepting new patients

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1659312049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 SE MILE HILL DR",
            "address_2": "SUITE 101",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663920",
            "telephone_number": "360-871-5200",
            "fax_number": "360-871-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 SE MILE HILL DR",
            "address_2": "SUITE 101",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663920",
            "telephone_number": "360-871-5200",
            "fax_number": "360-871-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDENDORF",
        "first_name": "JOYCE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH1707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.