Dennis Melton
Individual provider Active NPI Driver · Philadelphia, PA
NPI 1033725486 · NPPES record last updated Sep 21, 2020
Key facts
- NPI
- 1033725486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 3402 Lansing St
Philadelphia, PA 19136-3034 - Phone
- (267) 478-2433
- NPI assigned
- Sep 21, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Rides | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
3402 Lansing St
Philadelphia, PA 19136-3034
Mailing address
3402 Lansing St
Philadelphia, PA 19136-3034
Phone (267) 478-2433
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.