MIKE M POULIN DC
NPI 1750450078
Chiropractor in Herndon, VA

Q: 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.

Q: What is Mike Poulin's specialty?

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

Q: 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.

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: October 18, 2026.

On this page

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

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Other Identifiers 3

Medicare ID-Type UnspecifiedP0959138VA

Other211741VA · Anthem

OtherF610-0001VA · Carefirst Blue Cross

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignment

Medicare enrollment records show Mike Poulin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Poulin Inc

Same address

Chiropractor

2465 CENTREVILLE RD, SUITE J-18
Herndon, VA 20171

Reassigned Medicare billing, District of Columbia enrollment

NPI 1538422480 (703) 561-0600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Mike Poulin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mike Poulin reassigns Medicare benefits to Poulin Inc (Herndon, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mike Poulin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.