Organization Active NPI

Melancon Chiropractic & Wellness Clinic LLC

  • Chiropractor
  • Houma, LA
National Provider Identifier
1013141795
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MELANCON CHIROPRACTIC & WELLNESS CLINIC LLC
Practice address
430 Corporate Dr
Houma, LA 70360-2461
Phone
(985) 873-8586
Fax
(985) 873-8565
NPI assigned
May 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Authorized official

Name
Ricky Charles Melancon, DCNPI 1528069770
Title
Owner
Phone
(985) 873-8586

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

430 Corporate Dr
Houma, LA 70360-2461

Mailing address

430 Corporate Dr
Houma, LA 70360-2461
Phone (985) 873-8586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041021000519 LA Part B Supplier - Clinic/Group Practice 8426019662 Receives reassigned benefits from 1 practitioner
Practice locations: Houma, LA

National Provider Directory

National Provider Directory

Locations

430 Corporate Dr
Houma, LA 70360
Phone (985) 873-8586

430 Corporate Dr
Ste B
Houma, LA 70360

1211 Southeast Blvd
Morgan City, LA 70380
Phone (985) 375-9331

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1013141795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 CORPORATE DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602461",
            "telephone_number": "985-873-8586",
            "fax_number": "985-873-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 CORPORATE DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602461",
            "telephone_number": "985-873-8586",
            "fax_number": "985-873-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANCON CHIROPRACTIC & WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "MELANCON",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-873-8586",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.