Individual provider Active NPI

Misael D. Melendez, DC

  • Chiropractor
  • Buford, GA
National Provider Identifier
1295861144
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008572 Issued in GA
Practice address
3331 Hamilton Mill Rd
Suite 1102
Buford, GA 30519-4096
Phone
(678) 889-2220
Fax
(678) 804-9182
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8624 TX
Chiropractor 111N00000X CHIR008572 GA Primary

Addresses

Primary practice location

3331 Hamilton Mill Rd
Suite 1102
Buford, GA 30519-4096

Mailing address

3331 Hamilton Mill Rd
Suite 1102
Buford, GA 30519-4096
Phone (678) 889-2220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIR008572GAMDChiropractor
8624TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1295861144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 HAMILTON MILL RD",
            "address_2": "SUITE 1102",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194096",
            "telephone_number": "678-889-2220",
            "fax_number": "678-804-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 HAMILTON MILL RD",
            "address_2": "SUITE 1102",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194096",
            "telephone_number": "678-889-2220",
            "fax_number": "678-804-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "MISAEL",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8624",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.