Active NPI
Melinda Raye Turner, D.C.
- Chiropractor
- Fairview Heights, IL
National Provider Identifier
1679888960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.011827
- Practice address
- 5003 N Illinois St
Ste 2
Fairview Heights, IL 62208-3419 - Phone
- (618) 234-1455
- Fax
- (618) 277-3475
- NPI assigned
- Aug 11, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.011827 | IL | Primary |
| Chiropractor | 111N00000X | 2009019497 | MO |
Addresses
Primary practice location
5003 N Illinois St
Ste 2
Fairview Heights, IL 62208-3419
Mailing address
304 S Market St
Waterloo, IL 62298-1623
Phone (636) 697-6533
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.011827 | IL | MD | Chiropractor |
| 2009019497 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goldenberg & Associates | Past | Accepting new patients | |
| Anil Gupta M D | 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.
-
- Family Medicine Physician
- Columbia, IL
- NPI 1699870931
-
- Internal Medicine Physician
- Fairview Heights, IL
- NPI 1679599104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1679888960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 S MARKET ST",
"city": "WATERLOO",
"state": "IL",
"postal_code": "622981623",
"telephone_number": "636-697-6533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5003 N ILLINOIS ST",
"address_2": "STE 2",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "622083419",
"telephone_number": "618-234-1455",
"fax_number": "618-277-3475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNER",
"first_name": "MELINDA",
"middle_name": "RAYE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-11",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.011827",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2009019497",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairview Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.