Individual provider Active NPI

Rod David Melvin, D.C.

  • Chiropractor
  • Ontario, CA
National Provider Identifier
1407987712
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26446 Issued in CA
Practice address
2780 E Riverside Dr
Suite a
Ontario, CA 91761-7489
Phone
(909) 923-6777
Fax
(909) 923-0774
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 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 DC26446 CA Primary

Addresses

Primary practice location

2780 E Riverside Dr
Suite a
Ontario, CA 91761-7489

Mailing address

2780 E Riverside Dr
Suite a
Ontario, CA 91761-7489
Phone (909) 923-6777

Other names 1

  • Dr. Rod David Melvin Professional 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
DC26446CAMDChiropractor
26446CAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1407987712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 E RIVERSIDE DR",
            "address_2": "SUITE A",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917617489",
            "telephone_number": "909-923-6777",
            "fax_number": "909-923-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 E RIVERSIDE DR",
            "address_2": "SUITE A",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917617489",
            "telephone_number": "909-923-6777",
            "fax_number": "909-923-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELVIN",
        "first_name": "ROD",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROD",
            "last_name": "MELVIN",
            "middle_name": "DAVID",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.