Active NPI
Melissa Rose Banyai-del Carmen, D.C.
- Chiropractor
- Ellisville, MO
National Provider Identifier
1619028792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2005014211
- Practice address
- 281 Clarkson Rd
Suite 101
Ellisville, MO 63011-2281 - Phone
- (636) 207-9500
- Fax
- (636) 207-9555
- NPI assigned
- Jan 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 2005014211 | MO | Primary |
Addresses
Primary practice location
281 Clarkson Rd
Suite 101
Ellisville, MO 63011-2281
Mailing address
281 Clarkson Rd Ste 101
Ellisville, MO 63011-2281
Phone (636) 675-8196
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2005014211 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essen Chiropractic and Acupuncture, L L C | Chiropractor | 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.
-
- Chiropractor
- Des Peres, MO
- NPI 1578681565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1619028792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 CLARKSON RD STE 101",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112281",
"telephone_number": "636-675-8196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 CLARKSON RD",
"address_2": "SUITE 101",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112281",
"telephone_number": "636-207-9500",
"fax_number": "636-207-9555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANYAI-DEL CARMEN",
"first_name": "MELISSA",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2005014211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellisville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.