Individual provider Active NPI

Kristina L Mills, DC

  • Chiropractor
  • Centralia, WA
National Provider Identifier
1740317825
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034048 Issued in WA
Practice address
1102 Kresky Ave
Centralia, WA 98531-3732
Phone
(360) 330-1312
Fax
(360) 330-1320
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034048 WA Primary

Addresses

Primary practice location

1102 Kresky Ave
Centralia, WA 98531-3732

Mailing address

110 Ham Rd
Centralia, WA 98531-5202
Phone (360) 330-1312

Other identifiers 6

IdentifierTypeStateIssuer
0165763OtherWAKRISTINA L MILLS DC L&I
8349722MedicaidWA
8869221OtherWAMMC PTAN
8870107OtherWAKRISTINA PTAN
DB2803OtherWAGROUP MEDICARE RAILROAD
0165764OtherWAL&I GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060215000715 WA Practitioner - Chiropractic 6002800844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miracle Mile Chiropractic PCGroup PAC ID 7416041397, 2 clinicians

Practice addresses (Care Compare)

1102 Kresky Ave
Centralia, WA 98531-3732
Phone (360) 330-1312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Miracle Mile Chiropractic PC Chiropractor CurrentSince Aug 17, 2007 Accepting new patients

Locations

1102 Kresky Ave
Centralia, WA 98531
Phone (360) 330-1312

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1740317825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HAM RD",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985315202",
            "telephone_number": "360-330-1312",
            "fax_number": "360-330-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 KRESKY AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985313732",
            "telephone_number": "360-330-1312",
            "fax_number": "360-330-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "KRISTINA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KRISTINA L MILLS DC L&I",
            "identifier": "0165763",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8349722",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMC PTAN",
            "identifier": "8869221",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KRISTINA PTAN",
            "identifier": "8870107",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE RAILROAD",
            "identifier": "DB2803",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I GROUP",
            "identifier": "0165764",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.