Active NPI
Melton Chiropractic,PLLC
Doing business as The Melton Clinic
- Sports Physician Chiropractor
- Canyon Lake, TX
National Provider Identifier
1114024742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 10128
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Montgomery, TX
- NPI 1538128525
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.