Organization Active NPI

Melvin C Aldridge Jr D C P C

  • Chiropractor
  • Pasadena, TX
National Provider Identifier
1477678902
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2714 Issued in TX
Legal business name
MELVIN C ALDRIDGE JR D C P C
Practice address
6733 Fairmont Pkwy
Pasadena, TX 77505-4403
Phone
(281) 991-7676
Fax
(281) 991-7617
NPI assigned
Mar 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Melvin C Aldridge Jr., D CNPI 1790781581
Title
President
Phone
(281) 991-7676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2714 TX Primary

Addresses

Primary practice location

6733 Fairmont Pkwy
Pasadena, TX 77505-4403

Mailing address

6733 Fairmont Pkwy
Pasadena, TX 77505-4403
Phone (281) 991-7676

Other identifiers 3

IdentifierTypeStateIssuer
172477OtherTXHIGHMARK BCBS PROV NO
4091344OtherTXAETNA PROVIDER NO
2855167002OtherTXCIGNA PROVIDER NO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100921001420 TX Part B Supplier - Clinic/Group Practice 5193841690 Receives reassigned benefits from 2 practitioners
Practice locations: Pasadena, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477678902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6733 FAIRMONT PKWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775054403",
            "telephone_number": "281-991-7676",
            "fax_number": "281-991-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6733 FAIRMONT PKWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775054403",
            "telephone_number": "281-991-7676",
            "fax_number": "281-991-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVIN C ALDRIDGE JR D C P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALDRIDGE",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-991-7676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS PROV NO",
            "identifier": "172477",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NO",
            "identifier": "4091344",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NO",
            "identifier": "2855167002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.