Melissa A Vandermissen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009510 Issued in MI

Practice address

N3860 Bass Lake Rd
Iron Mountain, MI 49801-9306

Phone

(920) 770-3250

NPI assigned

Jul 1, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Niagara Health Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Niagara, WI
  • NPI 1699745067
  NPD
• Taig Family Chiropractic PS

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1740483007
  NPD (past)

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1639307473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N3860 BASS LAKE RD",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498019306",
            "telephone_number": "920-770-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N3860 BASS LAKE RD",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498019306",
            "telephone_number": "920-770-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERMISSEN",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4973-12",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639307473",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Uren
• Urology Associates of Green Bay
• Cheryl Ann Vader, APNP
• Laura B Van Guilder, CRD
• Ellen E Van Laanen, DO
• Rebecca Anne Vandusen, RD
• Benjamin R. Vanguilder, PHARM.D.
• Perrie Vanpembrook
• Michael R Veale, MD
• Cory J Vedin, LMSW

• Chiropractor in Iron Mountain, MI
• Providers in Iron Mountain, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.