Brian W Mittelstaedt, D.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

1365 Issued in WA

Practice address

601 S Race St
Suite C
Port Angeles, WA 98362-6400

Phone

(360) 452-7636

Fax

(360) 457-4221

NPI assigned

Mar 8, 2006

Last updated

Mar 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mittelstaedt Chiropractic Inc

  dba Mittelstaedt Chiropractic

  • Chiropractor
  • Port Angeles, WA
  • NPI 1376660050
  Authorized official Same address or phone
• Clark Chiropractic and Massage PS

  • Clinic/Center
  • Port Angeles, WA
  • NPI 1659783363
  NPD

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1942278767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S RACE ST",
            "address_2": "SUITE C",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626400",
            "telephone_number": "360-452-7636",
            "fax_number": "360-457-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S RACE ST",
            "address_2": "SUITE C",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626400",
            "telephone_number": "360-452-7636",
            "fax_number": "360-457-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTELSTAEDT",
        "first_name": "BRIAN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "WA",
            "license": "1365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Caywood Miller Jr., MD
• Lynda Minor, ARNP
• Mary Water Minton, LCSW
• Perrine Mintz, RN
• Mittelstaedt Chiropractic Inc (Mittelstaedt Chiropractic)
• Linsey Jane Monaghan, M.D.
• Megan Ann Monds, LICSW
• Ricarda Annette Montague, SUDP
• Susan Montana, RN
• Kristina Lynn Montoya

• Orthopedic Chiropractor in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Orthopedic Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.