DR. JUSTIN KEITH MCCORMICK D.C.
NPI 1932235561
Chiropractor in Mill Creek, WA

Active since February 26, 2007
15224 MAIN ST, STE. 103, MILL CREEK, WA 98012(425) 379-9749 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Justin Keith Mccormick D.c. NPPES

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

DR. JUSTIN KEITH MCCORMICK D.C. (NPI 1932235561) is an individual chiropractor in Mill Creek, Washington, licensed in Washington (CH00034501) and active in the NPI registry since February 2007. He is a graduate of Palmer College Chiropractic - Davenport (2001).

NPPES Registry Identity

NPI1932235561
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JUSTIN KEITH MCCORMICKCredential: D.C.
Location Address15224 MAIN ST, STE. 103Mill Creek, WA 98012-7316
Mailing Address15224 Main St, Ste. 103Mill Creek, WA 98012-7316 · (425) 379-9749
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2001
Enumeration DateFebruary 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1932235561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH00034501
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.
15224 MAIN ST, Mill Creek, WA 98012

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Justin Keith Mccormick D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032140801
PECOS Enrollment IDI20050822001402

Medicare Billing Reassignment

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

Chiropractor
15224 MAIN ST STE 103
Mill Creek, WA 98012
  • Reassigned Medicare billing, Washington enrollment

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

Other Providers at the Same Location NPPES 7

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

Dentist (Orthodontics and Dentofacial Orthopedics)
15224 MAIN ST, SUITE 302
MILL CREEK, WA 98012
Naturopath
15224 MAIN ST, SUITE 303
MILL CREEK, WA 98012
Dentist
15224 MAIN ST, SUITE 301
MILL CREEK, WA 98012
Massage Therapist
15224 MAIN ST
MILL CREEK, WA 98012
Massage Therapist
15224 MAIN ST, SUITE 103
MILL CREEK, WA 98012
Dentist (Orthodontics and Dentofacial Orthopedics)
15224 MAIN ST, SUITE 302
MILL CREEK, WA 98012
Massage Therapist
15224 MAIN ST, 303
MILL CREEK, WA 98012

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 Justin Mccormick's NPI number?

The NPI number for Justin Mccormick is 1932235561. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Justin Mccormick located?

Justin Mccormick practices at 15224 Main St Ste. 103, Mill Creek, WA 98012. The listed phone number is (425) 379-9749.

What is Justin Mccormick's specialty?

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

Is Justin Mccormick enrolled in Medicare?

Yes. Justin Mccormick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Justin Mccormick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Mccormick reassigns Medicare benefits to Planet Chiropractic Inc (Mill Creek, WA). 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 Justin Mccormick'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 Justin Mccormick 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.