Organization Active NPI

Melbourne Accident & Injury Center, Inc.

  • Chiropractor
  • Melbourne, FL
National Provider Identifier
1508223694
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9957 Issued in FL
Legal business name
MELBOURNE ACCIDENT & INJURY CENTER, INC.
Practice address
2351 W Eau Gallie Blvd
Suite 8
Melbourne, FL 32935-3114
Phone
(321) 622-6610
Fax
(321) 622-6716
NPI assigned
Jan 21, 2016
Last updated
Mar 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Authorized official

Name
Dr. Nicholas Jim Trastelis, DC
Title
President
Phone
(321) 622-6610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9957 FL Primary

Addresses

Primary practice location

2351 W Eau Gallie Blvd
Suite 8
Melbourne, FL 32935-3114

Mailing address

6284 Paradise Island CT
Port Orange, FL 32128-6962
Phone (321) 622-6610

National Provider Directory

National Provider Directory

Locations

2351 W Eau Gallie Blvd
Ste 8
Melbourne, FL 32935
Phone (321) 622-6610

Practitioners & affiliated clinicians

Practitioners 1

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": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1508223694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6284 PARADISE ISLAND CT",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286962",
            "telephone_number": "321-622-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 W EAU GALLIE BLVD",
            "address_2": "SUITE 8",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353114",
            "telephone_number": "321-622-6610",
            "fax_number": "321-622-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELBOURNE ACCIDENT & INJURY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "TRASTELIS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-622-6610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.