Melissa Ann Menges Smith, D.C.

Individual provider Active NPI Chiropractor · Falcon, CO

NPI 1245592153 · NPPES record last updated Jun 30, 2014

Key facts

NPI
1245592153
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
6437 (CO)
Practice address
7495 McLaughlin Rd
Suite 103
Falcon, CO 80831-4706
Phone
(719) 469-2657
NPI assigned
Jun 15, 2012
Sex
Female
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7495 McLaughlin Rd
Suite 101
Peyton, CO 80831-4714
Phone (719) 358-9941

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130426000207 CO Practitioner - Chiropractic 3971749516 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6437COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Good Life Chiropractic LLC Chiropractor Current
since Dec 3, 2012
Accepting new patients

Locations

7495 McLaughlin Rd
Ste 103
Peyton, CO 80831
Phone (719) 334-3347

7495 McLaughlin Rd
Ste 101
Peyton, CO 80831
Phone (719) 358-9941

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6437 CO Yes

Addresses

Primary practice location

7495 McLaughlin Rd
Suite 103
Falcon, CO 80831-4706

Mailing address

12511 Medinah Rd
Peyton, CO 80831-4127
Phone (719) 469-2657

Other providers in Falcon, CO

All providers in Falcon, CO · Chiropractor in Colorado

Sources for this page

Verify at the official NPI Registry.