Individual provider Active NPI

Marlin Joseph Meldonian, DC, LMT

  • Chiropractor
  • Jupiter, FL
National Provider Identifier
1932832979
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13861 Issued in FL
Practice address
1080 E Indiantown Rd Ste 103a
Jupiter, FL 33477-5188
Phone
(561) 831-9606
NPI assigned
Jul 7, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA86116 FL
Chiropractor 111N00000X CH13861 FL Primary

Addresses

Primary practice location

1080 E Indiantown Rd Ste 103a
Jupiter, FL 33477-5188

Mailing address

1080 E Indiantown Rd Ste 103a
Jupiter, FL 33477-5188
Phone (561) 831-9606

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
CH13861FLMDChiropractor
MA86116FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marlin Meldonian LLC Chiropractor CurrentSince Aug 6, 2023 Accepting new patients

Locations

1080 E Indiantown Rd
Ste 103A
Jupiter, FL 33477
Phone (561) 339-3088

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1932832979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 E INDIANTOWN RD STE 103A",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775188",
            "telephone_number": "561-831-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 E INDIANTOWN RD STE 103A",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775188",
            "telephone_number": "561-831-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELDONIAN",
        "first_name": "MARLIN",
        "middle_name": "JOSEPH",
        "credential": "DC, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-07",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA86116",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.