Milwaukie Chiropractic & Massage Clinic, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MILWAUKIE CHIROPRACTIC & MASSAGE CLINIC, PC

Practice address

5111 SE Lake Rd
Milwaukie, OR 97222-4767

Phone

(503) 659-5900

NPI assigned

Sep 21, 2007

Last updated

Jan 7, 2010By 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

Dr. David G. Mealey, DCNPI 1386788875

Title

President

Phone

(503) 659-5900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 4

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.

• David Mealey, D.C.

  • Chiropractor
  • Milwaukie, OR
  • NPI 1386788875
  Medicare reassignment Authorized official
• Mary Bogle

  • Clinical Psychologist
  • Portland, OR
  • NPI 1083744536
  NPD (past)
• James Scott Bowman, D.C.

  • Chiropractor
  • Portland, OR
  • NPI 1083911663
  NPD (past)
• Blaire M Nichols, LMT

  • Reflexologist
  • Milwaukie, OR
  • NPI 1023340817
  NPD (past)

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1891981999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 SE LAKE RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972224767",
            "telephone_number": "503-659-5900",
            "fax_number": "503-659-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 SE LAKE RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972224767",
            "telephone_number": "503-659-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKIE CHIROPRACTIC & MASSAGE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "MEALEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-659-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Milio, CCC-SLP
• Charles A. Miller III, DMD
• Jill Noelle Miller, LMT
• Pamela M Miller, OCCUPATIONAL THERAPI
• Sean Anthony Miller, PHYS THERAPIST ASST
• Milwaukie Chiropractic Center
• Milwaukie Convalescent Hospital Inc (Milwaukie Convalescent Center)
• Milwaukie Emergency Dentist LLC
• Milwaukie Orthopedic Service Inc
• Milwaukie Residential Care LLC

• Clinic/Center in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.