Active NPI
Michael Lewis Mullen, D.C.
- Chiropractor
- East Wenatchee, WA
National Provider Identifier
1942282694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00001059
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1974
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 509 Nutrition & Diabetes Care, PLLC | Current | Accepting new patients | |
| Mullen Family Chiropractic PLLC | Chiropractor | Current | 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.
-
- Chiropractor
- Wenatchee, WA
- NPI 1720773856
-
- Registered Dietitian
- Wenatchee, WA
- NPI 1134984933
-
- Chiropractor
- Wenatchee, WA
- NPI 1235209479
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.