Organization Active NPI

Merrill-Rinaldi Chiropractic Center, PA

  • Chiropractor
  • Melbourne, FL
National Provider Identifier
1063638039
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4982 Issued in FL
Legal business name
MERRILL-RINALDI CHIROPRACTIC CENTER, PA
Practice address
152 N Harbor City Blvd Ste 100
Melbourne, FL 32935-6794
Phone
(321) 242-2676
Fax
(321) 242-2675
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Authorized official

Name
Dr. Andre Jules Merrill, D.C
Title
President
Phone
(321) 724-5625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH4982 FL Primary

Addresses

Primary practice location

152 N Harbor City Blvd Ste 100
Melbourne, FL 32935-6794

Mailing address

152 N Harbor City Blvd Ste 100
Melbourne, FL 32935-6794
Phone (321) 242-2676

Other identifiers 3

IdentifierTypeStateIssuer
40736OtherFLGROUP BCBS
70679OtherFLBCBS RINALDI
70678OtherFLBCBS MERRILL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1063638039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 N HARBOR CITY BLVD STE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356794",
            "telephone_number": "321-242-2676",
            "fax_number": "321-242-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 N HARBOR CITY BLVD STE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356794",
            "telephone_number": "321-242-2676",
            "fax_number": "321-242-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRILL-RINALDI CHIROPRACTIC CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "MERRILL",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "JULES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-724-5625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS",
            "identifier": "40736",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS RINALDI",
            "identifier": "70679",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MERRILL",
            "identifier": "70678",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.