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DR. KEVIN RUSSELL MIKALAITIS
NPI 1104008663
Chiropractor in Longmont, CO

Active since November 27, 2007
1318 VIVIAN ST, LONGMONT, CO 80501(303) 776-0882(303) 776-1053 Get Directions Write a Review

NPPES record last updated: January 7, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kevin Russell Mikalaitis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN RUSSELL MIKALAITIS (NPI 1104008663) is an individual chiropractor in Longmont, Colorado, licensed in Colorado (CHR-6064) and active in the NPI registry since November 2007. He is a graduate of Palmer College Chiropractic - West Sunnyvale (2005).

NPPES Registry Identity

NPI1104008663
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KEVIN RUSSELL MIKALAITIS
Location Address1318 VIVIAN STLongmont, CO 80501-3217
Mailing Address1318 Vivian StLongmont, CO 80501-3217 · (303) 776-0882 · Fax (303) 776-1053
Phone(303) 776-0882
Fax(303) 776-1053
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 2005
Enumeration DateNovember 27, 2007
Last NPPES UpdateJanuary 7, 2008
✔ NPI 1104008663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CO · CHR-6064
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

1318 VIVIAN ST, Longmont, CO 80501
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Russell Mikalaitis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587747969
PECOS Enrollment IDI20230309000064

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALIGN CHIROPRACTIC CENTER, LLC
Chiropractor
1318 VIVIAN ST
LONGMONT, CO 80501
Boulder County (303) 776-0882

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Mikalaitis's NPI number?

The NPI number for Kevin Mikalaitis is 1104008663. It was assigned to this individual provider in the NPPES registry on November 27, 2007.

Where is Kevin Mikalaitis located?

Kevin Mikalaitis practices at 1318 Vivian St, Longmont, CO 80501. The listed phone number is (303) 776-0882.

What is Kevin Mikalaitis's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kevin Mikalaitis enrolled in Medicare?

Yes. Kevin Mikalaitis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Mikalaitis was last updated on January 7, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.