Mellor Chiropractic Clinic P.a.

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

C343 Issued in ID

Legal business name

MELLOR CHIROPRACTIC CLINIC P.A.

Practice address

54 Professional PLZ
Rexburg, ID 83440-2047

Phone

(208) 356-6009

NPI assigned

Aug 30, 2006

Last updated

Feb 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen Paul Mellor, D.C.NPI 1225147309

Title

Chiropractic Physician

Phone

(208) 356-6009

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

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.

• Stephen Paul Mellor, D.C.

  • Chiropractor
  • Rexburg, ID
  • NPI 1225147309
  Medicare reassignment Authorized official
• Jody Boyd Rawlings, P. T.

  • Physical Therapist
  • Rexburg, ID
  • NPI 1497897458
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1871602987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 PROFESSIONAL PLZ",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402047",
            "telephone_number": "208-356-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 PROFESSIONAL PLZ",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402047",
            "telephone_number": "208-356-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELLOR CHIROPRACTIC CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "MELLOR",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "208-356-6009",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "ID",
            "license": "C343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott J McCurdy, OPTICIAN
• Amy Anne McDougal, PHARM.D
• Jay Robert McMaster, DO
• Russell Hal McUne, MD
• Megan Leigh Meldrum, LMSW
• Stephen Paul Mellor, D.C.
• Rex Allen Meredith, PA-C
• Robert E. Meredith, DO
• Merrell Eyecare Center Inc
• Marshall H Merrell, O.D.

• Physical Disabilities Residential Treatment Facility in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Physical Disabilities Residential Treatment Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.