Organization Active NPI

Mikula Chiropractic DCPC

  • Chiropractor
  • Dearborn, MI
National Provider Identifier
1699989905
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007817 Issued in MI
Legal business name
MIKULA CHIROPRACTIC DCPC
Practice address
22190 Garrison
Suite 304
Dearborn, MI 48124-2235
Phone
(313) 274-3182
Fax
(313) 359-1706
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Dr. Paul Adam Mikula, DCPCNPI 1548380629
Title
Owner
Phone
(313) 274-3182

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301007817 MI Primary

Addresses

Primary practice location

22190 Garrison
Suite 304
Dearborn, MI 48124-2235

Mailing address

22190 Garrison St
Suite 304
Dearborn, MI 48124-2260
Phone (313) 274-3182

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071228000019 MI Part B Supplier - Clinic/Group Practice 3678653912 Receives reassigned benefits from 1 practitioner
Practice locations: Dearborn, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1699989905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22190 GARRISON ST",
            "address_2": "SUITE 304",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242260",
            "telephone_number": "313-274-3182",
            "fax_number": "313-359-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22190 GARRISON",
            "address_2": "SUITE 304",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242235",
            "telephone_number": "313-274-3182",
            "fax_number": "313-359-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKULA CHIROPRACTIC DCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "MIKULA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-274-3182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DCPC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.