Ellis Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 00034430 Issued in WA

Legal business name

ELLIS CHIROPRACTIC LLC

Practice address

217 N Meridian
Suite a
Puyallup, WA 98371-8647

Phone

(253) 770-2245

Fax

(253) 770-2249

NPI assigned

May 12, 2010

Organization subpart

No

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

Authorized official

Name

Mitch Ellis, D.C.NPI 1952471047

Title

Owner

Phone

(253) 770-2245

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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.

• Mitch Ellis, D.C.

  • Chiropractor
  • Puyallup, WA
  • NPI 1952471047
  Medicare reassignment NPD Authorized official
• Corey Daniel Scott, LMP

  • Massage Therapist
  • Puyallup, WA
  • NPI 1679615223
  NPD (past)

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1679891824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N MERIDIAN",
            "address_2": "SUITE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983718647",
            "telephone_number": "253-770-2245",
            "fax_number": "253-770-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N MERIDIAN",
            "address_2": "SUITE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983718647",
            "telephone_number": "253-770-2245",
            "fax_number": "253-770-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-770-2245",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 00034430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockne K Eli
• Nikki N Ellah, RCMA
• Ellen Polsky DDS
• Sandra Bee Ellingboe
• Heidi Dawn Elliott
• Linda Sue Ellis, LMT
• Mitch Ellis, D.C.
• Sunam Ellis
• Mark J Elmore I, D.D.S.,P.S.
• Baby Elnas

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.