Organization Active NPI

Mell Chiropractic, LLC

  • Chiropractor
  • Caledonia, MN
National Provider Identifier
1821395484
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5392 Issued in MN
Legal business name
MELL CHIROPRACTIC, LLC
Practice address
126 W Main St
Caledonia, MN 55921-1109
Phone
(507) 725-8500
NPI assigned
Feb 17, 2011
Last updated
Sep 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Dr. Geoffrey Joseph Mell, DCNPI 1821318056
Title
Chiropractor
Phone
(507) 725-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5392 MN Primary

Addresses

Primary practice location

126 W Main St
Caledonia, MN 55921-1109

Mailing address

126 W Main St
Caledonia, MN 55921-1109
Phone (507) 725-8500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110421000244 MN Part B Supplier - Clinic/Group Practice 2466637202 Receives reassigned benefits from 1 practitioner
Practice locations: Caledonia, MN

National Provider Directory

National Provider Directory

Locations

101 S Kingston St
Caledonia, MN 55921
Phone (320) 271-6671

101 S Kingston St
Ste A
Caledonia, MN 55921
Phone (507) 725-8500

126 W Main St
Caledonia, MN 55921
Phone (507) 725-8500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1821395484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 W MAIN ST",
            "city": "CALEDONIA",
            "state": "MN",
            "postal_code": "559211109",
            "telephone_number": "507-725-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W MAIN ST",
            "city": "CALEDONIA",
            "state": "MN",
            "postal_code": "559211109",
            "telephone_number": "507-725-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELL CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "MELL",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "507-725-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caledonia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.