Individual provider Active NPI

Melissa Lawrence, DC

  • Chiropractor
  • Lisle, IL
National Provider Identifier
1275052284
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038013146 Issued in IL
Practice address
2745 Maple Ave Ste 2D
Lisle, IL 60532-3231
Phone
(630) 428-4300
NPI assigned
Sep 12, 2017
Last updated
Mar 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 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 038013146 IL Primary

Addresses

Primary practice location

2745 Maple Ave Ste 2D
Lisle, IL 60532-3231

Mailing address

429 N Kirk Rd Ste 103
Geneva, IL 60134-1606
Phone (630) 428-4300

Other practice location 1

429 N Kirk Rd Ste 103
Geneva, IL 60134-1606
Phone (630) 605-6323

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180430001275 IL Practitioner - Chiropractic 1658635628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Medicine Associates SCGroup PAC ID 3971496134, 5 clinicians

Practice addresses (Care Compare)

429 N Kirk Rd
Suite 103
Geneva, IL 60134-1606
Phone (630) 605-6323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine Associates SC Chiropractor CurrentSince Mar 11, 2018 Accepting new patients

Locations

429 N Kirk Rd
Ste 103
Geneva, IL 60134
Phone (630) 605-6323

2745 Maple Ave
Ste 2D
Lisle, IL 60532
Phone (630) 428-4300

24W500 Maple Ave
Ste 105
Naperville, IL 60540
Phone (630) 428-4300

Interoperability endpoints

  • Direct secure messaging: melissa.lawrence@ihar-il.direct.office.nextgen.com

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": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1275052284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 N KIRK RD STE 103",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341606",
            "telephone_number": "630-428-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 MAPLE AVE STE 2D",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323231",
            "telephone_number": "630-428-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "429 N Kirk Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601341606",
            "country_code": "US",
            "telephone_number": "630-605-6323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "MELISSA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.