Mem III Incorporated

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2499 Issued in OK

Legal business name

MEM III INCORPORATED

Doing business as

Mills Chiropractic Center

Practice address

12502 E 21St St
Tulsa, OK 74129-1803

Phone

(918) 437-5355

Fax

(918) 437-5356

NPI assigned

May 22, 2007

Reactivated

Nov 17, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Melvin Eugene Mills III, D.C.NPI 1043382757

Title

Owner

Phone

(918) 437-5355

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MILLS CHIROPRACTIC CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melvin Eugene Mills III, D.C.

  • Chiropractor
  • Tulsa, OK
  • NPI 1043382757
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1174733141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12502 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741291803",
            "telephone_number": "918-437-5355",
            "fax_number": "918-437-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12502 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741291803",
            "telephone_number": "918-437-5355",
            "fax_number": "918-437-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEM III INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "deactivation_date": "2021-09-22",
        "reactivation_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-437-5355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "2499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "352609309-002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILLS CHIROPRACTIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raechel Melton
• Shaye Lynnette Melton
• Stacey Alexandria Melton, M.A., CCC-SLP
• Edwin Melvin
• Mely's Meadow Inc.
• Tania Membrila
• Memorial Health Group LLC
• Memorial Surgery Center, LLC
• Memorialplace Neurology
• Anna Mendez Tompkins

• Chiropractor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.