Individual provider Active NPI

Melvin Gallegos

  • Taxi
  • Chicago, IL
National Provider Identifier
1841799525
Registry record updated Feb 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
License
G42260586028 Issued in IL
Practice address
3018 S Spaulding Ave
Chicago, IL 60623-4747
Phone
(170) 899-6520
Fax
(708) 996-5205
NPI assigned
Feb 7, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X
Taxi 344600000X G42260586028 IL Primary

Addresses

Primary practice location

3018 S Spaulding Ave
Chicago, IL 60623-4747

Mailing address

3018 S Spaulding Ave
Chicago, IL 60623-4747
Phone (708) 996-5205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
G42260586028ILMDTaxi

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1841799525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 S SPAULDING AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234747",
            "telephone_number": "708-996-5205",
            "fax_number": "708-477-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 S SPAULDING AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234747",
            "telephone_number": "170-899-6520",
            "fax_number": "708-996-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "MELVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "IL",
            "license": "G42260586028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.