Individual provider Active NPI

Melony Coleen Graham-Tipler, D.C.

  • Internist Chiropractor
  • Milton, MA
National Provider Identifier
1366618910
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
3188 Issued in MA
Practice address
328 Blue Hill Ave
Milton, MA 02186-1020
Phone
(617) 250-8887
Fax
(617) 273-2393
NPI assigned
May 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X 3188 MA Primary

Addresses

Primary practice location

328 Blue Hill Ave
Milton, MA 02186-1020

Mailing address

328 Blue Hill Ave
Milton, MA 02186-1020
Phone (617) 250-8887

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
3188MAMDInternist Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tipler Chiropractic & Rehabilitation LLC Internist PastSince Oct 4, 2007 Accepting new patients

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": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1366618910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 BLUE HILL AVE",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021861020",
            "telephone_number": "617-250-8887",
            "fax_number": "617-273-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 BLUE HILL AVE",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021861020",
            "telephone_number": "617-250-8887",
            "fax_number": "617-273-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM-TIPLER",
        "first_name": "MELONY",
        "middle_name": "COLEEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "MA",
            "license": "3188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.