Melanie Ann Skindzier Gleiss, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301005679 Issued in MI

Practice address

888 Phillips St
South Haven, MI 49090-1845

Phone

(269) 637-2131

Fax

(269) 639-8888

NPI assigned

Aug 31, 2005

Reactivated

Mar 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1205829660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 PHILLIPS ST",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490901845",
            "telephone_number": "269-637-2131",
            "fax_number": "269-639-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 PHILLIPS ST",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490901845",
            "telephone_number": "269-637-2131",
            "fax_number": "269-639-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINDZIER GLEISS",
        "first_name": "MELANIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2008-07-28",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER PIN",
            "identifier": "950H010370",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in South Haven, MI
• Providers in South Haven, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.