Organization Active NPI

Guy Yves Pelchat, DC PA

  • Chiropractor
  • Melbourne, FL
National Provider Identifier
1578864625
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6843 Issued in FL
Legal business name
GUY YVES PELCHAT, DC PA
Practice address
6550 N Wickham Rd Ste 6
Melbourne, FL 32940-2038
Phone
(321) 242-7721
Fax
(321) 242-7679
NPI assigned
Nov 5, 2010
Last updated
Nov 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

Name
Dr. Guy Yves Pelchat, D.C.NPI 1104804954
Title
President
Phone
(321) 242-7721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6843 FL Primary

Addresses

Primary practice location

6550 N Wickham Rd Ste 6
Melbourne, FL 32940-2038

Mailing address

6550 N Wickham Rd Ste 6
Melbourne, FL 32940-2038
Phone (321) 242-7721

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101116000057 FL Part B Supplier - Clinic/Group Practice 3678768686 Receives reassigned benefits from 1 practitioner
Practice locations: Melbourne, FL

National Provider Directory

National Provider Directory

Locations

6550 N Wickham Rd
Ste 6
Melbourne, FL 32940
Phone (321) 242-7721

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": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1578864625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 N WICKHAM RD STE 6",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402038",
            "telephone_number": "321-242-7721",
            "fax_number": "321-242-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 N WICKHAM RD STE 6",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402038",
            "telephone_number": "321-242-7721",
            "fax_number": "321-242-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUY YVES PELCHAT, DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "PELCHAT",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "YVES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-242-7721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6843",
            "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 Nov 5, 2010; 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.