Active NPI
Larry Dale Mellinger, D.C., F.A.C.O.
- Orthopedic Chiropractor
- Arcadia, CA
National Provider Identifier
1033247382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 11480
- Practice address
- 228 E Foothill Blvd
Arcadia, CA 91006-2508 - Phone
- (626) 357-3232
- Fax
- (626) 357-6068
- NPI assigned
- Mar 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 11480 | CA | Primary |
Addresses
Primary practice location
228 E Foothill Blvd
Arcadia, CA 91006-2508
Mailing address
228 E Foothill Blvd
Arcadia, CA 91006-2508
Phone (626) 357-3232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11480 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033247382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 E FOOTHILL BLVD",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910062508",
"telephone_number": "626-357-3232",
"fax_number": "626-357-6068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 E FOOTHILL BLVD",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910062508",
"telephone_number": "626-357-3232",
"fax_number": "626-357-6068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLINGER",
"first_name": "LARRY",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "D.C., F.A.C.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "CA",
"license": "11480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.