Individual provider Active NPI

Steven Melter, DMD, MA

  • General Practice Dentistry
  • Killeen, TX
National Provider Identifier
1043891419
Registry record updated Sep 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37410 Issued in TX
Practice address
2202 S W S Young Dr Ste 102
Killeen, TX 76543-5318
Phone
(254) 690-0092
NPI assigned
Apr 17, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2021

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 37410 TX Primary

Addresses

Primary practice location

2202 S W S Young Dr Ste 102
Killeen, TX 76543-5318

Mailing address

2202 S W S Young Dr Ste 102
Killeen, TX 76543-5318
Phone (254) 690-0092

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37410TXMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632528000000",
    "number": "1043891419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 S W S YOUNG DR STE 102",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765435318",
            "telephone_number": "254-690-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 S W S YOUNG DR STE 102",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765435318",
            "telephone_number": "254-690-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTER",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DMD, MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-17",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2021; 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.