Individual provider Active NPI

William Melvin Jr., D.C.

  • Chiropractor
  • Portsmouth, OH
National Provider Identifier
1124109111
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2454 Issued in OH
Practice address
1428 Gallia St
Portsmouth, OH 45662-4221
Phone
(740) 353-5874
Fax
(740) 353-5896
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2454 OH Primary

Addresses

Primary practice location

1428 Gallia St
Portsmouth, OH 45662-4221

Mailing address

1428 Gallia St
Portsmouth, OH 45662-4221
Phone (740) 353-5874

Other practice location 1

2301 S 7th St Ste 3
Ironton, OH 45638-2542
Phone (740) 534-1111

Other identifiers 5

IdentifierTypeStateIssuer
2079067MedicaidOH
2740482OtherOHUNITED HEALTH CARE
311548034-00OtherOHBUREAU OF WORKERS COMP
11652526OtherOHCAQH UNIVERSAL CREDENTIAL
000000494743OtherOHANTHEM BLUE CROSS BLUE SH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061113000024 OH Practitioner - Chiropractic 4688672363 Reassigns benefits to 1 organization
Practice locations: Portsmouth, OH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Melvin Chiropractic Clinic LLCGroup PAC ID 9133618333, 2 clinicians

Practice addresses (Care Compare)

1428 Gallia St
Portsmouth, OH 45662-4221
Phone (740) 353-5874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph E Valli, D.C., Inc Chiropractor CurrentSince Oct 12, 2020 Accepting new patients
Melvin Chiropractic Clinic, LLC Chiropractor CurrentSince Aug 3, 2025 Accepting new patients
Ironton Health and Wellness Corp Chiropractor Past Accepting new patients
Carver Health Care Services, Inc. Chiropractor Past Accepting new patients
Lawyer Chiropractic Clinic Inc Chiropractor Past Accepting new patients

Locations

2301 S 7th St
#3
Ironton, OH 45638
Phone (740) 533-0550

1420 Chillicothe St
Portsmouth, OH 45662
Phone (740) 354-8824

1428 Gallia St
Portsmouth, OH 45662
Phone (740) 353-5874

Organizations & group practices 5

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1124109111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 GALLIA ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624221",
            "telephone_number": "740-353-5874",
            "fax_number": "740-353-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 GALLIA ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624221",
            "telephone_number": "740-353-5874",
            "fax_number": "740-353-5896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 S 7th St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Ironton",
            "state": "OH",
            "postal_code": "456382542",
            "country_code": "US",
            "telephone_number": "740-534-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELVIN",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2079067",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2740482",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF WORKERS COMP",
            "identifier": "311548034-00",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH UNIVERSAL CREDENTIAL",
            "identifier": "11652526",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "000000494743",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.