Mitch Ellis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034430 Issued in WA

Practice address

217 N Meridian
Ste a
Puyallup, WA 98371-8647

Phone

(253) 770-2245

Fax

(253) 770-2249

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Ellis Chiropractic LLC

  • Chiropractor
  • Puyallup, WA
  • NPI 1679891824
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952471047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N MERIDIAN",
            "address_2": "STE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983718647",
            "telephone_number": "253-770-2245",
            "fax_number": "253-770-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N MERIDIAN",
            "address_2": "STE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983718647",
            "telephone_number": "253-770-2245",
            "fax_number": "253-770-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "MITCH",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Polsky DDS
• Sandra Bee Ellingboe
• Heidi Dawn Elliott
• Ellis Chiropractic LLC
• Linda Sue Ellis, LMT
• Sunam Ellis
• Mark J Elmore I, D.D.S.,P.S.
• Baby Elnas
• Dennis R. Elonka, M.D.
• Rachael D Elrod, MD

• Chiropractor in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.