Mikula Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007183 Issued in MI

Legal business name

MIKULA CHIROPRACTIC, P.C.

Practice address

4056 Plainfield Ave NE
Suite E
Grand Rapids, MI 49525-1630

Phone

(616) 365-0255

Fax

(616) 365-0975

NPI assigned

Jul 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Brian Patrick Mikula, D.C.NPI 1588691273

Title

President

Phone

(616) 365-0255

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Mikula Chiropractic Center Former legal business name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Patrick Mikula, D.C.

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1588691273
  Medicare reassignment Care Compare group NPD Authorized official
• Jean Mikula, D.C.

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1457388142
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1669637229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4056 PLAINFIELD AVE NE",
            "address_2": "SUITE E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251630",
            "telephone_number": "616-365-0255",
            "fax_number": "616-365-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4056 PLAINFIELD AVE NE",
            "address_2": "SUITE E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251630",
            "telephone_number": "616-365-0255",
            "fax_number": "616-365-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKULA CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "MIKULA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-365-0255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0D15065",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3269896",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4443376",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0D17680",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "950D120100",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "950D120110",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mikula Chiropractic Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kathryn Marie Mikel, LPC
• Sarah Alean Mikel
• Jonathan Juris Mikelsons, LPC, SCL
• Laura Rose Mikrut, MA
• Mikula Chiropractic Center
• Brian Patrick Mikula, D.C.
• Gary R Mikula, DO
• James W Mikula, MSW
• Jean Mikula, D.C.
• Meghan Rebecca Mikula, PA-C

• Chiropractor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.