Organization Active NPI

Downtown Chiropractic and Sports Development Center PA

  • Chiropractor
  • Tallahassee, FL
National Provider Identifier
1831370568
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8122 Issued in FL
Legal business name
DOWNTOWN CHIROPRACTIC AND SPORTS DEVELOPMENT CENTER PA
Practice address
2056 Centre Pointe LN
Tallahassee, FL 32308-4300
Phone
(850) 878-2363
Fax
(850) 878-2281
NPI assigned
Nov 22, 2007
Last updated
Sep 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Dr. Walter Calvin Melton Jr., D.C.NPI 1003972597
Title
Director
Phone
(850) 570-0208

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
Chiropractor 111N00000X CH8122 FL Primary

Addresses

Primary practice location

2056 Centre Pointe LN
Tallahassee, FL 32308-4300

Mailing address

PO Box 14593
Tallahassee, FL 32317-4593
Phone (850) 570-0208

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081105000850 FL Part B Supplier - Clinic/Group Practice 9335208347 Receives reassigned benefits from 1 practitioner
Practice locations: Tallahassee, FL

National Provider Directory

National Provider Directory

Locations

1147 Apalachee Pkwy
Tallahassee, FL 32301
Phone (850) 878-2363

137 Salem Ct
Tallahassee, FL 32301
Phone (850) 878-2363

250 Pinewood Dr
Tallahassee, FL 32303
Phone (850) 766-5678

Practitioners & affiliated clinicians

Practitioners 3

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": "1195689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1831370568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14593",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323174593",
            "telephone_number": "850-570-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2056 CENTRE POINTE LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084300",
            "telephone_number": "850-878-2363",
            "fax_number": "850-878-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN CHIROPRACTIC AND SPORTS DEVELOPMENT CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-22",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "CALVIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-570-0208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.