Individual provider Active NPI

Melissa A Taylor-McIntyre, D.C.

  • Chiropractor
  • Concord, NC
National Provider Identifier
1629287008
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3850 Issued in NC
Practice address
929 Concord Pkwy S
Suite G
Concord, NC 28027-9026
Phone
(704) 910-9800
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3850 NC Primary

Addresses

Primary practice location

929 Concord Pkwy S
Suite G
Concord, NC 28027-9026

Mailing address

349L Copperfield Blvd NE # 388
Concord, NC 28025-2403
Phone (704) 910-9800

Other names 1

  • Melissa A Taylor Former name

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
3850NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Fitness Centers PC Chiropractor Past Accepting new patients
Absolute Wellness Chiropractic Center PLLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1629287008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349L COPPERFIELD BLVD NE # 388",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252403",
            "telephone_number": "704-910-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 CONCORD PKWY S",
            "address_2": "SUITE G",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280279026",
            "telephone_number": "704-910-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-MCINTYRE",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "TAYLOR",
            "middle_name": "A",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.