Individual provider Active NPI

Melissa Layne Ciecko, DC

  • Chiropractor
  • Rome, NY
National Provider Identifier
1184645400
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X101018 Issued in NY
Practice address
300N. George Street
Rome, NY 13440
Phone
(315) 404-5485
Fax
(315) 533-5037
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X101018 NY Primary

Addresses

Primary practice location

300N. George Street
Rome, NY 13440

Mailing address

300 N. George Street
Rome, NY 13440
Phone (315) 404-5485

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050401000435 NY Practitioner - Chiropractic 3577510585 Practice locations: Rome, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 N George St
Rome, NY 13440-5004
Phone (315) 533-5037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X101018NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sherry Anne Lints Chiropractor Past 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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1184645400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N. GEORGE STREET",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13440",
            "telephone_number": "315-404-5485",
            "fax_number": "315-533-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300N. GEORGE STREET",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13440",
            "telephone_number": "315-404-5485",
            "fax_number": "315-533-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIECKO",
        "first_name": "MELISSA",
        "middle_name": "LAYNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X101018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.