Mikhail Kisselev, ND, PH.D, LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

MIKHAIL KISSELEV, ND, PH.D, LLC

Practice address

11524 15TH Ave NE
Suite C
Seattle, WA 98125-6357

Phone

(206) 361-0108

NPI assigned

Sep 24, 2012

Organization subpart

Yes

Parent organization

MIKHAIL KISSELEV, ND, PH.D, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Mikhail O. Kisselev, NDNPI 1073638177

Title

Medical Director

Phone

(206) 361-0108

Specialties & licenses 1

Addresses

Part of

Mikhail Kisselev ND PHD LLC

Locations

Practitioners 3

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.

• Mikhail Kisselev, N.D., L.M.P.

  • Naturopath
  • Seattle, WA
  • NPI 1073638177
  NPD (past) Authorized official
• Mariam Garifianova, LAC

  • Acupuncturist
  • Seattle, WA
  • NPI 1689700973
  NPD (past)
• Dina Kiseleva, ND

  • Naturopath
  • Seattle, WA
  • NPI 1891940342
  NPD (past)

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1871844316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11524 15TH AVE NE",
            "address_2": "SUITE C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256357",
            "telephone_number": "206-361-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKHAIL KISSELEV, ND, PH.D, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIKHAIL KISSELEV, ND, PH.D, LLC",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "KISSELEV",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "206-361-0108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davis Mihelich
• Angela Mihm, L.M.P.
• Aika Miikeda, GP61334780
• Carmen Mikacenic, M.D.
• Leigh Ann Mike, PHARMD
• Abby Ellen Mikkelsen
• Cezary Mikoluk, MD
• Shelley D. Miksis, RN, ARNP
• Chelsea Nicole Mikula-Chao, ND, LAC
• Lisa Ann Mikulencak, MA

• Non-Pharmacy Dispensing Site in Seattle, WA
• Providers in Seattle, WA by specialty
• Non-Pharmacy Dispensing Site in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.