Individual provider Active NPI

Justin Melia, DC

  • Chiropractor
  • Marco Island, FL
National Provider Identifier
1073900668
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13470 Issued in FL
Practice address
1770 San Marco Rd Ste 203
Marco Island, FL 34145-5138
Phone
(239) 970-2211
NPI assigned
Apr 21, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13470 FL Primary

Addresses

Primary practice location

1770 San Marco Rd Ste 203
Marco Island, FL 34145-5138

Mailing address

1770 San Marco Rd
Ste 203
Marco Island, FL 34145-5138
Phone (908) 454-2666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211027001391 FL Practitioner - Chiropractic 7911201967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1770 San Marco Rd
Suite 203
Marco Island, FL 34145-5138
Phone (239) 970-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Where Spines Align Chiropractic Chiropractor CurrentSince Sep 30, 2021 Accepting new patients
Chiropractic Health Clinic Chiropractor PastSince Jul 25, 2017 Accepting new patients

Locations

1770 San Marco Rd
Ste 203
Marco Island, FL 34145
Phone (239) 970-2211

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1073900668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 SAN MARCO RD",
            "address_2": "STE 203",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341455138",
            "telephone_number": "908-454-2666",
            "fax_number": "908-454-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 SAN MARCO RD STE 203",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341455138",
            "telephone_number": "239-970-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELIA",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-21",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marco Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.