Individual provider Active NPI

Melissa Jones, D.C.

  • Chiropractor
  • San Angelo, TX
National Provider Identifier
1336528066
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12715 Issued in TX
Practice address
4241 Southwest Blvd
Ste 106
San Angelo, TX 76904-5687
Phone
(325) 947-2225
Fax
(325) 947-3019
NPI assigned
May 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12715 TX Primary

Addresses

Primary practice location

4241 Southwest Blvd
Ste 106
San Angelo, TX 76904-5687

Mailing address

4241 Southwest Blvd
Ste 106
San Angelo, TX 76904-5687
Phone (325) 947-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150805006410 TX Practitioner - Chiropractic 8325352339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4262 S Jackson St
San Angelo, TX 76903-9335
Phone (325) 617-4172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12715TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted Wellness Clinic Chiropractor CurrentSince Sep 18, 2023 Accepting new patients

Locations

4262 S Jackson St
San Angelo, TX 76903
Phone (325) 617-4172

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.

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1336528066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 SOUTHWEST BLVD",
            "address_2": "STE 106",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045687",
            "telephone_number": "325-947-2225",
            "fax_number": "325-947-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 SOUTHWEST BLVD",
            "address_2": "STE 106",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045687",
            "telephone_number": "325-947-2225",
            "fax_number": "325-947-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MELISSA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.