Individual provider Active NPI

Melinda Ann Sauvage, D.C.

  • Chiropractor
  • Emmett, ID
National Provider Identifier
1710199922
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 60126765 Issued in WA
Practice address
780 Clifford Dr
Emmett, ID 83617-9035
Phone
(509) 994-3969
NPI assigned
May 3, 2007
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC30557 CA
Chiropractor 111N00000X DCA-2277 ID
Chiropractor 111N00000X 096C VI
Chiropractor 111N00000X CH 60126765 WA Primary

Addresses

Primary practice location

780 Clifford Dr
Emmett, ID 83617-9035

Mailing address

780 Clifford Dr
Emmett, ID 83617-9035
Phone (509) 994-3969

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240417002002 ID Practitioner - Chiropractic 9931238672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gardner Chiropractic PLLCGroup PAC ID 3476087024, 2 clinicians

Practice addresses (Care Compare)

2007 E Quail Run Rd
Suite 2
Emmett, ID 83617-5059
Phone (208) 365-2024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC30557CAMDChiropractor
DCA-2277IDMDChiropractor
096CVIMDChiropractor
CH 60126765WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Suncrest Chiropractic and Massage PLLC Chiropractor CurrentSince Jul 25, 2021 Accepting new patients
Eric Dudenhofer Arnp PS CurrentSince Jan 15, 2017 Accepting new patients
Gardner Chiropractic PLLC Chiropractor CurrentSince Sep 19, 2024 Accepting new patients

Locations

2007 E Quail Run Rd
#2
Emmett, ID 83617
Phone (208) 365-2024

518 S Washington Ave
Emmett, ID 83617
Phone (208) 365-2024

12727 W 14th Ave
Airway Hgts, WA 99001
Phone (509) 244-4818

5978 Highway 291
Ste 2
Nine Mile Fls, WA 99026
Phone (509) 934-1981

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1710199922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 CLIFFORD DR",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836179035",
            "telephone_number": "509-994-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 CLIFFORD DR",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836179035",
            "telephone_number": "509-994-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUVAGE",
        "first_name": "MELINDA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30557",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "DCA-2277",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VI",
            "license": "096C",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 60126765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmett, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.