Individual provider Active NPI

Melinda Bryant, DMD

  • General Practice Dentistry
  • Hopkinton, MA
National Provider Identifier
1043749716
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1857602 Issued in MA
Practice address
169 W Main St
Hopkinton, MA 01748-2175
Phone
(508) 435-9391
NPI assigned
Jun 7, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1857602 MA Primary

Addresses

Primary practice location

169 W Main St
Hopkinton, MA 01748-2175

Mailing address

2 Downey PL
Hopkinton, MA 01748-2756
Phone (508) 259-0400

Other practice location 1

737 Main St
Bolton, MA 01740-1215
Phone (978) 779-6223

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
DN1857602MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bolton Famiy Dental, LLP PastSince Jan 2, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1043749716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DOWNEY PL",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017482756",
            "telephone_number": "508-259-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 W MAIN ST",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017482175",
            "telephone_number": "508-435-9391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "737 Main St",
            "address_purpose": "LOCATION",
            "city": "Bolton",
            "state": "MA",
            "postal_code": "017401215",
            "country_code": "US",
            "telephone_number": "978-779-6223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "MELINDA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.