Micah W Pittman, D.C., BSC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13544 Issued in TX

Practice address

1603 Ranch Road 620 N Ste 200
Lakeway, TX 78734-2324

Phone

(512) 266-8100

Fax

(512) 266-8103

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 620 Chiropractic & Longevity Center, PLLC

  • Chiropractor
  • Lakeway, TX
  • NPI 1750809513
  Medicare reassignment NPD Authorized official
• Pittman Family Chiropractic, Inc

  • Chiropractor
  • Tukwila, WA
  • NPI 1740300458
  NPD (past) Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1740300425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 RANCH ROAD 620 N STE 200",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787342324",
            "telephone_number": "425-457-1980",
            "fax_number": "512-266-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 RANCH ROAD 620 N STE 200",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787342324",
            "telephone_number": "512-266-8100",
            "fax_number": "512-266-8103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13028 Interurban Ave S",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981683340",
            "country_code": "US",
            "telephone_number": "425-457-0469",
            "fax_number": "206-957-7952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "MICAH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.C., BSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034578",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHWAYS WHOLEHEALTH",
            "identifier": "2006073131740267247",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CHOICE HEALTH PPO",
            "identifier": "460513476",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Physical Rehab PLLC
• Serge Pierrecharles, M.D.
• Natalie Pintado
• Alzeena Vailanka Pinto
• Michael Pitman, PHARMD
• Paul Pluymen, LPC
• Podiatry Group of South Texas, PA
• Satish B. Potluri, M.D.
• Lauren N. Powell, DDS
• Quamone Powell

• Chiropractor in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.