John Wesley Melvin, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

420 South Washington St
Duquoin, IL 62832

Phone

(618) 542-3636

Fax

(618) 542-5469

NPI assigned

Aug 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John W. Melvin DC LTD

  • Chiropractor
  • Du Quoin, IL
  • NPI 1275637605
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871505941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SOUTH WASHINGTON ST",
            "city": "DUQUOIN",
            "state": "IL",
            "postal_code": "62832",
            "telephone_number": "618-542-3636",
            "fax_number": "618-542-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SOUTH WASHINGTON ST",
            "city": "DUQUOIN",
            "state": "IL",
            "postal_code": "62832",
            "telephone_number": "618-542-3636",
            "fax_number": "618-542-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELVIN",
        "first_name": "JOHN",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07382009",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tori Laine Mathis, LPN
• Teresa McBride, LPN
• Brenda McFadden
• Savanna McFadden
• Med Motion Supply LLC
• Michael Dean Melvin, RPH
• Gorana Micevic
• Melissa A Mitsdarffer, LCSW
• Derek Mohr, BA
• Anthony Bryant Moran, LPC

• Chiropractor in Du Quoin, IL
• Providers in Du Quoin, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.