Individual provider Active NPI

Todd William Melvin, D.C.

  • Chiropractor
  • West Burlington, IA
National Provider Identifier
1215044730
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06760 Issued in IA
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

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
38654OtherIAWELLMARK BC/BS
P00249894OtherIARAILROAD MEDICARE
0457515MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
06760IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Isla Chiropractic LLC Chiropractor CurrentSince Sep 14, 2025 Accepting new patients
Todd R Lange DC, PLLC Chiropractor PastSince Oct 4, 2020 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.

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.

Verify at the official NPI Registry.