Active NPI
Douglas A Mello, DC
- Chiropractor
- Westport, MA
National Provider Identifier
1700907722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2546
- Practice address
- 474 State Rd
Westport, MA 02790-3427 - Phone
- (508) 679-9991
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 2546 | MA | Primary |
Addresses
Primary practice location
474 State Rd
Westport, MA 02790-3427
Mailing address
474 State Rd
Westport, MA 02790
Phone (508) 679-9991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060425000644 | MA | Practitioner - Chiropractic | 5890705578 | Practice locations: Dartmouth, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
654 State Rd
Unit a
Dartmouth, MA 02747-1833
Phone (508) 679-9991
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2546 | MA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450224000000",
"number": "1700907722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "474 STATE RD",
"city": "WESTPORT",
"state": "MA",
"postal_code": "02790",
"telephone_number": "508-679-9991",
"fax_number": "508-977-0367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "474 STATE RD",
"city": "WESTPORT",
"state": "MA",
"postal_code": "027903427",
"telephone_number": "508-679-9991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLO",
"first_name": "DOUGLAS",
"middle_name": "A",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2015-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westport, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.