Individual provider Active NPI

Melissa Ann Menges Smith, D.C.

  • Chiropractor
  • Falcon, CO
National Provider Identifier
1245592153
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6437 Issued in CO
Practice address
7495 McLaughlin Rd
Suite 103
Falcon, CO 80831-4706
Phone
(719) 469-2657
NPI assigned
Jun 15, 2012
Last updated
Jun 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6437 CO Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6437COMDChiropractor

Practice roles

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

Locations

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1245592153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12511 MEDINAH RD",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314127",
            "telephone_number": "719-469-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7495 MCLAUGHLIN RD",
            "address_2": "SUITE 103",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808314706",
            "telephone_number": "719-469-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENGES SMITH",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falcon, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.