Active NPI
Jeffrey C Melby, DC
- Chiropractor
- Champaign, IL
National Provider Identifier
1588674204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-010174
- Practice address
- 314 S Neil St
Champaign, IL 61820-4979 - Phone
- (217) 355-7321
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-010174 | IL | Primary |
Addresses
Primary practice location
314 S Neil St
Champaign, IL 61820-4979
Mailing address
314 S Neil St
Champaign, IL 61820-4979
Phone (217) 355-7321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038-010174 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
314 S Neil St
Suite 100
Champaign, IL 61820-4979
Phone (217) 355-7321
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-010174 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Health Chiropractic Centers of Il, LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Champaign, IL
- NPI 1588997027
-
- Chiropractor
- Wausau, WI
- NPI 1003862087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369008000000",
"number": "1588674204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 S NEIL ST",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618204979",
"telephone_number": "217-355-7321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 S NEIL ST",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618204979",
"telephone_number": "217-355-7321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELBY",
"first_name": "JEFFREY",
"middle_name": "C",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2013-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-010174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038-010174",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.