1. Home
  2. Directory
  3. Virginia
  4. Herndon
  5. Chiropractor
  6. NPI Profile

MIKE M POULIN DC
NPI 1750450078
Chiropractor in Herndon, VA

Active since November 08, 2006
2465 CENTREVILLE RD STE J18, HERNDON, VA 20171(703) 561-0600(703) 561-0601 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mike M Poulin Dc NPPES

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

MIKE M POULIN DC (NPI 1750450078) is an individual chiropractor in Herndon, Virginia, licensed in Virginia (0104001170) and active in the NPI registry since November 2006. He is a graduate of Other (1992).

NPPES Registry Identity

NPI1750450078
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMIKE M POULINCredential: DC
Location Address2465 CENTREVILLE RD STE J18Herndon, VA 20171-3026
Mailing Address2465 Centreville Rd Ste J18Herndon, VA 20171-3026 · (703) 561-0600 · Fax (703) 561-0601
Phone(703) 561-0600
Fax(703) 561-0601
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateNovember 8, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1750450078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in VA · 0104001170
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.
2465 CENTREVILLE RD STE J18, Herndon, VA 20171
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedP0959138VA
Other211741VA · Anthem
OtherF610-0001VA · Carefirst Blue Cross

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mike M Poulin Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890950158
PECOS Enrollment IDI20120712000043

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
1,756 services114 patients

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 Mike Poulin's NPI number?

The NPI number for Mike Poulin is 1750450078. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Mike Poulin located?

Mike Poulin practices at 2465 Centreville Rd Ste J18, Herndon, VA 20171. The listed phone number is (703) 561-0600.

What is Mike Poulin's specialty?

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

Is Mike Poulin enrolled in Medicare?

Yes. Mike Poulin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mike Poulin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.