Active NPI
Todd William Melvin, D.C.
- Chiropractor
- West Burlington, IA
National Provider Identifier
1215044730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06760
- Practice address
- 521 E Mount Pleasant St
West Burlington, IA 52655-1462 - Phone
- (319) 209-2115
- Fax
- (319) 209-2117
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06760 | IA | Primary |
Addresses
Primary practice location
521 E Mount Pleasant St
West Burlington, IA 52655-1462
Mailing address
521 E Mount Pleasant St
West Burlington, IA 52655-1462
Phone (319) 209-2115
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38654 | Other | IA | WELLMARK BC/BS |
| P00249894 | Other | IA | RAILROAD MEDICARE |
| 0457515 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, AZ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050720000466 | IA | Practitioner - Chiropractic | 6709813876 | Practice locations: West Burlington, IA |
| I20170103000048 | AZ | Practitioner - Chiropractic | 6709813876 |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
521 E Mount Pleasant St
West Burlington, IA 52655-1462
Phone (319) 209-2115
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06760 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Isla Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Todd R Lange DC, PLLC | Chiropractor | Past | Accepting new patients |
Locations
3115 Agency St
Burlington, IA 52601
Phone (319) 392-8567
Organizations & group practices 2
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.
-
- Chiropractor
- Burlington, IA
- NPI 1669353744
-
- Chiropractor
- Burlington, IA
- NPI 1518574771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1215044730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 E MOUNT PLEASANT ST",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551462",
"telephone_number": "319-209-2115",
"fax_number": "319-209-2117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 E MOUNT PLEASANT ST",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551462",
"telephone_number": "319-209-2115",
"fax_number": "319-209-2117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELVIN",
"first_name": "TODD",
"middle_name": "WILLIAM",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "06760",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BC/BS",
"identifier": "38654",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00249894",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0457515",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.