Individual provider Active NPI

Melissa Joan Cristiani, D.C.

  • Nutrition Chiropractor
  • Maryland Heights, MO
National Provider Identifier
1083758619
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
6195 Issued in MO
Practice address
12131 Dorsett Rd
209
Maryland Heights, MO 63043-2418
Phone
(314) 291-3666
Fax
(314) 291-3668
NPI assigned
Feb 16, 2007
Last updated
Oct 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2102 MA
Nutrition Chiropractor 111NN1001X 6195 MO Primary

Addresses

Primary practice location

12131 Dorsett Rd
209
Maryland Heights, MO 63043-2418

Mailing address

12131 Dorsett Rd
209
Maryland Heights, MO 63043-2418
Phone (314) 291-3666

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6195MOMDNutrition Chiropractor
2102MAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1083758619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12131 DORSETT RD",
            "address_2": "209",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432418",
            "telephone_number": "314-291-3666",
            "fax_number": "314-291-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12131 DORSETT RD",
            "address_2": "209",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432418",
            "telephone_number": "314-291-3666",
            "fax_number": "314-291-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTIANI",
        "first_name": "MELISSA",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2102",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MO",
            "license": "6195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryland Heights, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.