Kevin Dean Melby

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

140-95 Issued in ND

Practice address

101 3Rd Ave SW
Suite 102
Minot, ND 58701-3880

Phone

(701) 857-5286

Fax

(701) 857-5694

NPI assigned

Jul 24, 2014

Last updated

Jul 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1720496599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 THIRD AVE SW",
            "address_2": "TRINITY HEALTH WEST SUITE 102",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587025020",
            "telephone_number": "701-857-5286",
            "fax_number": "701-857-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 3RD AVE SW",
            "address_2": "SUITE 102",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013880",
            "telephone_number": "701-857-5286",
            "fax_number": "701-857-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELBY",
        "first_name": "KEVIN",
        "middle_name": "DEAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ND",
            "license": "140-95",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajnikant Liladhar Mehta, MD
• Jessica M Meier, CRNA
• Christian D Meland, DDS
• Eric W Meland, DDS
• Shawnya G Meland
• Kaylynn Melgaard
• Michael Joel Melgaard, LAC
• Melissa K Waind (Melissa Waind, LCSW, PLLC)
• Janelle Mellor
• Joshua Trevor Meske, OD

• Athletic Trainer in Minot, ND
• Providers in Minot, ND by specialty
• Athletic Trainer in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.