Melissa Manilla, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-04845 Issued in OH

Practice address

211 Park Ave Ste 117
Beachwood, OH 44122-4241

Phone

(216) 245-9840

NPI assigned

Nov 7, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Inspired Chiropractic & Wellness Inc

  • Chiropractor
  • Lakewood, OH
  • NPI 1730677485
  NPD
• Sopchak Chiropractic Center Inc

  • Chiropractor
  • Concord TWP, OH
  • NPI 1063767697
  NPD

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1821566902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 EDGERTON RD",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "441183726",
            "telephone_number": "440-478-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PARK AVE STE 117",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224241",
            "telephone_number": "216-245-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANILLA",
        "first_name": "MELISSA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-04845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0390137",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Joseph Malie, LPCC
• Ismail Hameed Mallick, M.D., PH.D
• Christopher Frank Mallory
• Elesa Malo, RN
• Brittany Alexis Mangham
• Mihaela R Manolache, MD
• Petrica Manolache, MD
• Haley Noelle Mansfield, LPCC
• Mohamed Mansour
• Marathon Health LLC

• All providers in Beachwood, OH
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.