Individual provider Active NPI

Melissa Grace Marshall, D.C.

  • Chiropractor
  • Grand Ledge, MI
National Provider Identifier
1194024471
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009777 Issued in MI
Practice address
229 N Bridge St
Grand Ledge, MI 48837-1630
Phone
(517) 627-7070
Fax
(517) 627-0976
NPI assigned
Mar 25, 2011
Last updated
Mar 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009777 MI Primary

Addresses

Primary practice location

229 N Bridge St
Grand Ledge, MI 48837-1630

Mailing address

229 N Bridge St
Grand Ledge, MI 48837-1630
Phone (517) 627-7070

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

LicenseStateTypeSpecialty
2301009777MIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301011200000",
    "number": "1194024471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N BRIDGE ST",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488371630",
            "telephone_number": "517-627-7070",
            "fax_number": "517-627-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N BRIDGE ST",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488371630",
            "telephone_number": "517-627-7070",
            "fax_number": "517-627-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "MELISSA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Ledge, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.