Individual provider Active NPI

Michlene Melahn, DC

  • Chiropractor
  • Plainfield, IL
National Provider Identifier
1487789053
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009269 Issued in IL
Practice address
7178 Caton Farm Rd
Plainfield, IL 60586-1695
Phone
(815) 260-5076
Fax
(484) 493-3162
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038009269 IL Primary

Addresses

Primary practice location

7178 Caton Farm Rd
Plainfield, IL 60586-1695

Mailing address

2012 Steward LN
Plainfield, IL 60586-6501
Phone (815) 260-5076

Other identifiers 1

IdentifierTypeStateIssuer
038009269OtherILSTATE LICENSE

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
038009269ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Innerpeace Natural Healthcare Past 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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1487789053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 STEWARD LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605866501",
            "telephone_number": "815-260-5076",
            "fax_number": "484-493-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7178 CATON FARM RD",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605861695",
            "telephone_number": "815-260-5076",
            "fax_number": "484-493-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELAHN",
        "first_name": "MICHLENE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "038009269",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.