Organization Active NPI

Melton Chiropractic,PLLC

Doing business as The Melton Clinic

  • Sports Physician Chiropractor
  • Canyon Lake, TX
National Provider Identifier
1114024742
Registry record updated Oct 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
10128 Issued in TX
Legal business name
MELTON CHIROPRACTIC,PLLC
Doing business as
The Melton Clinic
Practice address
879 Highland Blvd
Canyon Lake, TX 78133-3999
Phone
(832) 577-8189
NPI assigned
Sep 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2012

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

Authorized official

Name
Dr. Cecilia Louise Melton, D.C.NPI 1538128525
Title
Owner, President
Phone
(832) 577-8189

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
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 10128 TX Primary

Addresses

Primary practice location

879 Highland Blvd
Canyon Lake, TX 78133-3999

Mailing address

879 Highland Blvd
Canyon Lake, TX 78133-3999
Phone (832) 577-8189

Other names 1

  • The Melton Clinic Doing business as

National Provider Directory

National Provider Directory

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": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349568000000",
    "number": "1114024742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 HIGHLAND BLVD",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781333999",
            "telephone_number": "832-577-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 HIGHLAND BLVD",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781333999",
            "telephone_number": "832-577-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELTON CHIROPRACTIC,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2012-10-07",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "832-577-8189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "10128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Melton Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canyon Lake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2012; 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.