Mikula Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007183 Issued in MI

Legal business name

MIKULA CHIROPRACTIC CENTER

Doing business as

mikula chiropractic pc

Practice address

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

Phone

(616) 365-0255

Fax

(616) 365-0975

NPI assigned

Dec 17, 2008

Last updated

Dec 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cheryl A. Merkler

Title

Billing Associate

Phone

(616) 365-0255

Specialties & licenses 2

Addresses

Other identifiers 10

Other names 1

• mikula chiropractic pc Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Patrick Mikula, D.C.

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1588691273
  NPD (past)
• Jean Mikula, D.C.

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1457388142
  NPD (past)

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1770729097",
    "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 CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "MERKLER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "BILLING ASSOCIATE",
        "authorized_official_telephone_number": "616-365-0255",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007183",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007184",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ENROLLMENT PTAN",
            "identifier": "P61830001",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14443376",
            "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 CARE NETWORK",
            "identifier": "OD15062753",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13269896",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "950D120110",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0D15065",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0D115053",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ENROLLMENT PTAN",
            "identifier": "P61830002",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ENROLLMENT PTAN",
            "identifier": "0P61830",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mikula chiropractic pc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mike's Way Inc
• Kathryn Marie Mikel, LPC
• Sarah Alean Mikel
• Jonathan Juris Mikelsons, LPC, SCL
• Laura Rose Mikrut, MA
• Mikula Chiropractic, P.C.
• Brian Patrick Mikula, D.C.
• Gary R Mikula, DO
• James W Mikula, MSW
• Jean Mikula, D.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 Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.