Melanie Shawn McDivitt Hiskey, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60858571 Issued in WA

Practice address

14124 Main St NE Ste C
Duvall, WA 98019-8477

Phone

(425) 788-7328

NPI assigned

Oct 1, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1013492503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14124 MAIN ST NE STE C",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980198477",
            "telephone_number": "425-788-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14124 MAIN ST NE STE C",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980198477",
            "telephone_number": "425-788-7328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18031 67th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Kenmore",
            "state": "WA",
            "postal_code": "980284839",
            "country_code": "US",
            "telephone_number": "425-285-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HISKEY",
        "first_name": "MELANIE",
        "middle_name": "SHAWN MCDIVITT",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60858571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophie Marie Haegele
• Sydni Kohl Hammar
• Colton Charles Hankins, LMT
• Kristie N Harris, LMHC
• Rachel Anne Heidenreich Lazar, MSW, LICSW
• Desiree Hobson
• Amanda Holeman, MHCA
• Courtney Ann Horton
• Maura Howley
• Xuru Huang

• All providers in Duvall, WA
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.