Individual provider Active NPI

Michael Lewis Mullen, D.C.

  • Chiropractor
  • East Wenatchee, WA
National Provider Identifier
1942282694
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001059 Issued in WA
Practice address
304 Grant Rd
Suite 1
East Wenatchee, WA 98802-5384
Phone
(509) 884-4200
Fax
(509) 884-4201
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00001059 WA Primary

Addresses

Primary practice location

304 Grant Rd
Suite 1
East Wenatchee, WA 98802-5384

Mailing address

304 Grant Rd
Suite 1
East Wenatchee, WA 98802-5384
Phone (509) 884-4200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070604000139 WA Practitioner - Chiropractic 3072541374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1974
Medicare assignment
May accept Medicare assignment
Group practices
Mullen Family Chiropractic PLLCGroup PAC ID 2163880683, 3 clinicians

Practice addresses (Care Compare)

1737 N Wenatchee Ave
Suite E
Wenatchee, WA 98801-1189
Phone (509) 888-0188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
509 Nutrition & Diabetes Care, PLLC CurrentSince Feb 25, 2024 Accepting new patients
Mullen Family Chiropractic PLLC Chiropractor CurrentSince May 1, 2023 Accepting new patients
Decamp-Lewis Chiropractic Clinic, PLLC Chiropractor Past Accepting new patients

Locations

1737 N Wenatchee Ave
Ste E
Wenatchee, WA 98801
Phone (509) 645-2079

Organizations & group practices 3

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1942282694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 GRANT RD",
            "address_2": "SUITE 1",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025384",
            "telephone_number": "509-884-4200",
            "fax_number": "509-884-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 GRANT RD",
            "address_2": "SUITE 1",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025384",
            "telephone_number": "509-884-4200",
            "fax_number": "509-884-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "MICHAEL",
        "middle_name": "LEWIS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.