Gregory K Mellon, D.C.,D.A.B.C.O.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1000 Issued in OH

Practice address

1802 Castleton Way
Delaware, OH 43015-1301

Phone

(740) 363-3330

Fax

(740) 369-2124

NPI assigned

Jun 23, 2006

Last updated

Oct 3, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1932135894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 CASTLETON WAY",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151301",
            "telephone_number": "740-363-3330",
            "fax_number": "740-369-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 CASTLETON WAY",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151301",
            "telephone_number": "740-363-3330",
            "fax_number": "740-369-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLON",
        "first_name": "GREGORY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.C.,D.A.B.C.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1000",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2933",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIN",
            "identifier": "311187277",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Mitchell Meckler, MD
• John Edward Mediatore
• Jaydip Mehta
• Tejas A Mehta, MD
• Meijer Stores Limited Partnership (Meijer Pharmacy #249)
• Kim Leigh Mellon, L.I.S.W.
• Kelly Michelle Melvin, CDCA
• Joel Allen Mercer
• Gene Gavin Metz, R.PH., PHARMD
• Phyllis R. Meyer, M.A., CCC-SLP

• Chiropractor in Delaware, OH
• Providers in Delaware, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.