Individual provider Active NPI

Melissa Jean Eiben, D.C.

  • Chiropractor
  • Troy, MI
National Provider Identifier
1588953152
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010071 Issued in MI
Practice address
3522 Rochester Rd
Troy, MI 48083-5242
Phone
(248) 526-0072
Fax
(248) 526-0073
NPI assigned
Apr 4, 2011
Last updated
Sep 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10249 FL
Chiropractor 111N00000X 2301010071 MI Primary

Addresses

Primary practice location

3522 Rochester Rd
Troy, MI 48083-5242

Mailing address

3522 Rochester Rd
Troy, MI 48083-5242
Phone (248) 388-6712

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
2301010071MIMDChiropractor
10249FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Essence Psychology, LLC Past Accepting new patients
Shin Wellness L L C Chiropractor PastSince Feb 9, 2004 Accepting new patients
Michigan Chiropractic Specialists, P.C. Chiropractor PastSince Feb 9, 2006 Accepting new patients
Michigan Chiropractic Specialists of Waterford, P.C. Chiropractor Past Accepting new patients
Health in Motion Chiropractic Chiropractor Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1588953152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3522 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835242",
            "telephone_number": "248-388-6712",
            "fax_number": "248-526-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3522 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835242",
            "telephone_number": "248-526-0072",
            "fax_number": "248-526-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIBEN",
        "first_name": "MELISSA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "10249",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.