Individual provider Active NPI

Melissa Ann Longo, D.C.

  • Chiropractor
  • Mt Prospect, IL
National Provider Identifier
1356338263
Registry record updated Jan 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008169 Issued in IL
Practice address
500 W Central Rd
Suite 101
Mt Prospect, IL 60056-2347
Phone
(847) 259-6605
Fax
(847) 259-8071
NPI assigned
Oct 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 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 038-008169 IL Primary

Addresses

Primary practice location

500 W Central Rd
Suite 101
Mt Prospect, IL 60056-2347

Mailing address

500 W Central Rd
Suite 101
Mt Prospect, IL 60056-2347
Phone (847) 259-6605

Other names 1

  • Dr. Melissa Ann Longo-Royer Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-008169ILMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1356338263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W CENTRAL RD",
            "address_2": "SUITE 101",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600562347",
            "telephone_number": "847-259-6605",
            "fax_number": "847-259-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W CENTRAL RD",
            "address_2": "SUITE 101",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600562347",
            "telephone_number": "847-259-6605",
            "fax_number": "847-259-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGO",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "LONGO-ROYER",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mt Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.