Healthcare Provider Details

I. General information

NPI: 1538866470
Provider Name (Legal Business Name): DIANNA MICHELLE MEJIA DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DIANNA MICHELLE AMARAL

II. Dates (important events)

Enumeration Date: 02/10/2023
Last Update Date: 03/07/2026
Certification Date: 03/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1618 6TH AVE N UNIT 1
GREAT FALLS MT
59401-1720
US

IV. Provider business mailing address

1618 6TH AVE N UNIT 1
GREAT FALLS MT
59401-1720
US

V. Phone/Fax

Practice location:
  • Phone: 512-650-8689
  • Fax:
Mailing address:
  • Phone: 209-628-9974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number9397
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: