Individual provider Active NPI

Wayne R Meylor, DC

  • Chiropractor
  • Le Mars, IA
National Provider Identifier
1285691360
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04712 Issued in IA
Practice address
400 Plymouth St. SW
Lemars, IA 51031
Phone
(712) 546-5121
Fax
(712) 546-5023
NPI assigned
May 1, 2006
Last updated
May 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 04712 IA Primary

Addresses

Primary practice location

400 Plymouth St. SW
Lemars, IA 51031

Mailing address

400 Plymouth St SW
Le Mars, IA 51031-3443
Phone (712) 546-5121

Other identifiers 2

IdentifierTypeStateIssuer
19773OtherIAWELLMARK BCBS
0197731MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091119000180 IA Practitioner - Chiropractic 4688578065 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Lemars, IA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meylor Chiropractic Clinic Chiropractor CurrentSince Aug 23, 2022 Accepting new patients

Locations

400 Plymouth St SW
Le Mars, IA 51031
Phone (712) 546-5121

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1285691360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PLYMOUTH ST SW",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313443",
            "telephone_number": "712-546-5121",
            "fax_number": "712-546-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PLYMOUTH ST. SW",
            "city": "LEMARS",
            "state": "IA",
            "postal_code": "51031",
            "telephone_number": "712-546-5121",
            "fax_number": "712-546-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYLOR",
        "first_name": "WAYNE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "19773",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0197731",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Le Mars, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.