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Deactivated NPI 1619040839 Deactivated / Inactive NPI Male Practitioner

Dr. Melvin W. Derickson , DC

Chiropractor • Beavercreek, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Melvin Derickson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 16, 2006
NPI Deactivation Date April 28, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Melvin Derickson, DC was a registered Chiropractor practicing in Beavercreek, OH. Throughout an active medical career spanning 16 years, Dr. Derickson provided care at the practice location at 3355 DAYTON XENIA RD until profile deactivation on 2022-04-28.

Practice Location & Contact Primary Location

Practice Address

3355 Dayton Xenia Rd

Beavercreek, OH 454322728

Telephone 9374269225

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Beavercreek, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.2 Yrs
State Avg: 24.4 Yrs
Regional Practice Density
15 Specialists

Practicing in Beavercreek, OH (2830 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License OH 1268

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 28, 2022

Record deactivated on April 28, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3355 DAYTON XENIA RD, BEAVERCREEK, OH 454322728 (Tel: 9374269225)

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Updated Business Mailing Address July 08, 2007

Registered at 3355 DAYTON XENIA RD, BEAVERCREEK, OH 454322728 (Tel: 9374269225)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MELVIN DERICKSON, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #1268 in OH)

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Initial NPI Registration & Enumeration November 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619040839
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2006
Last Update: July 08, 2007
Deactivation Date: April 28, 2022

Mailing Address

3355 Dayton Xenia Rd

Beavercreek, OH 454322728

Phone: 9374269225

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.