Active NPI
Holden James Melerine, DC
- Chiropractor
- The Villages, FL
National Provider Identifier
1154865129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH-13307
- Practice address
- 910 Old Camp Rd
The Villages, FL 32162-5604 - Phone
- (352) 775-2180
- NPI assigned
- Dec 11, 2016
- Reactivated
- Sep 15, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | LA | ||
| Chiropractor | 111N00000X | CH-13307 | FL | Primary |
Addresses
Primary practice location
910 Old Camp Rd
The Villages, FL 32162-5604
Mailing address
1212 Osprey Ridge Dr
Eustis, FL 32736-2508
Phone (504) 427-6863
Other practice location 1
906 E 1st St
Thibodaux, LA 70301-6701
Phone (985) 448-4837
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH-13307 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicholls State University | Past | Accepting new patients | |
| The Foundation for the Advancement of a Strategic Science of Teaching | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Thibodaux, LA
- NPI 1861881435
-
- Behavior Analyst
- Thibodaux, LA
- NPI 1295227635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1154865129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 OSPREY RIDGE DR",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327362508",
"telephone_number": "504-427-6863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 OLD CAMP RD",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321625604",
"telephone_number": "352-775-2180"
}
],
"practiceLocations": [
{
"address_1": "906 E 1st St",
"address_purpose": "LOCATION",
"city": "Thibodaux",
"state": "LA",
"postal_code": "703016701",
"country_code": "US",
"telephone_number": "985-448-4837",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELERINE",
"first_name": "HOLDEN",
"middle_name": "JAMES",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-11",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"deactivation_date": "2022-08-29",
"reactivation_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH-13307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.