NPIMap

Individual provider Active NPI

Michael J Ehrenheim, DC

  • Chiropractor
  • Renton, WA
National Provider Identifier
1962770461
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002710 Issued in WA
Practice address
10622 SE Carr Rd
Suite a
Renton, WA 98055-5406
Phone
(425) 277-2225
Fax
(425) 277-1591
NPI assigned
Dec 12, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002710 WA Primary

Addresses

Primary practice location

10622 SE Carr Rd
Suite a
Renton, WA 98055-5406

Mailing address

20002 110TH Avenue CT E
Graham, WA 98338-8363
Phone (425) 277-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH00002710WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Movement Chiropractic and Massage, LLC Chiropractor PastSince Dec 22, 2019 Accepting new patients
Petett Chiropractic Clinic, Inc. Past Accepting new patients
Chiro One Wellness Center of Renton PLLC Chiropractor PastSince Nov 19, 2023 Accepting new patients

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": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1962770461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20002 110TH AVENUE CT E",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983388363",
            "telephone_number": "425-277-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10622 SE CARR RD",
            "address_2": "SUITE A",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555406",
            "telephone_number": "425-277-2225",
            "fax_number": "425-277-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRENHEIM",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.