Individual provider Active NPI

Wilmer Luis Melendez Negron, DC

  • Sports Physician Chiropractor
  • Purcellville, VA
National Provider Identifier
1174020119
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
0104557601 Issued in VA
Practice address
631 W Main St
Purcellville, VA 20132-3012
Phone
(787) 231-9079
NPI assigned
Apr 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X CHIR010044 GA
Sports Physician Chiropractor 111NS0005X 0104557601 VA Primary

Addresses

Primary practice location

631 W Main St
Purcellville, VA 20132-3012

Mailing address

631 W Main St
Purcellville, VA 20132-3012
Phone (787) 231-9079

Other practice location 1

22149 Davis Dr Ste 135
Sterling, VA 20164-5381
Phone (571) 498-7515

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
CHIR010044GAMDSports Physician Chiropractor
0104557601VAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Recharge Wellness Sports Physician PastSince Jul 25, 2021 Accepting new patients

Organizations & group practices 1

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": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1174020119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 W MAIN ST",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323012",
            "telephone_number": "787-231-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 W MAIN ST",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323012",
            "telephone_number": "787-231-9079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22149 Davis Dr Ste 135",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201645381",
            "country_code": "US",
            "telephone_number": "571-498-7515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELENDEZ NEGRON",
        "first_name": "WILMER",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-06",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "GA",
            "license": "CHIR010044",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104557601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcellville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.