Individual provider Active NPI

Lucas Melendez, D.C.

  • Chiropractor
  • Queen Creek, AZ
National Provider Identifier
1699274357
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9016 Issued in AZ
Practice address
23149 S 230TH St
Ste B103
Queen Creek, AZ 85142-1290
Phone
(760) 489-0303
Fax
(760) 489-0480
NPI assigned
Feb 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34098 CA
Chiropractor 111N00000X 9016 AZ Primary

Addresses

Primary practice location

23149 S 230TH St
Ste B103
Queen Creek, AZ 85142-1290

Mailing address

7215 S Power Rd Ste B103
Queen Creek, AZ 85142-6336
Phone (760) 419-8981

Other identifiers 1

IdentifierTypeStateIssuer
34098OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220810000413 AZ Practitioner - Chiropractic 3173855293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7215 S Power Rd
Suite B103
Queen Creek, AZ 85142-6336
Phone (480) 746-4550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34098CAMDClinical Social Worker
9016AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Family Chiropractic PLLC Chiropractor CurrentSince Jul 21, 2021 Accepting new patients

Locations

7215 S Power Rd
Ste B103
Queen Creek, AZ 85142
Phone (480) 746-4550

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.

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1699274357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 S POWER RD STE B103",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426336",
            "telephone_number": "760-419-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23149 S 230TH ST",
            "address_2": "STE B103",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421290",
            "telephone_number": "760-489-0303",
            "fax_number": "760-489-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "LUCAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-08",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34098",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "9016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "34098",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.