Active NPI
Melanie Cecilia Kom
- Chiropractor
- Saint Joseph, MI
National Provider Identifier
1871261644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301011135
- Practice address
- 2600 Lincoln Ave
Saint Joseph, MI 49085-3356 - Phone
- (269) 556-9654
- NPI assigned
- Sep 5, 2021
- Last updated
- Sep 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301011135 | MI | Primary |
Addresses
Primary practice location
2600 Lincoln Ave
Saint Joseph, MI 49085-3356
Mailing address
2600 Lincoln Ave
Saint Joseph, MI 49085-3356
Phone (269) 556-9654
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301011135 | MI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630800000000",
"number": "1871261644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 LINCOLN AVE",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490853356",
"telephone_number": "269-556-9654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 LINCOLN AVE",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490853356",
"telephone_number": "269-556-9654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOM",
"first_name": "MELANIE",
"middle_name": "CECILIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-05",
"last_updated": "2021-09-05",
"certification_date": "2021-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301011135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Joseph, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.