NPIMap

Organization Active NPI

Melissa Mullane Padgett, DDS, LLC

  • General Practice Dentistry
  • Boardman, OH
National Provider Identifier
1083941314
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30021871 Issued in OH
Legal business name
MELISSA MULLANE PADGETT, DDS, LLC
Practice address
1006 Boardman Canfield Rd
Suite 1a
Boardman, OH 44512-4278
Phone
(330) 726-6700
Fax
(330) 965-9594
NPI assigned
Nov 6, 2009
Last updated
Nov 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Authorized official

Name
Dr. Melissa Marie Padgett, DDSNPI 1508940446
Title
Dentist
Phone
(330) 726-6700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30021871 OH Primary

Addresses

Primary practice location

1006 Boardman Canfield Rd
Suite 1a
Boardman, OH 44512-4278

Mailing address

1006 Boardman Canfield Rd
Suite 1a
Boardman, OH 44512-4278
Phone (330) 726-6700

Other identifiers 1

IdentifierTypeStateIssuer
2682539MedicaidOH

National Provider Directory

National Provider Directory

Locations

1006 Boardman Canfield Rd
Ste 1A
Boardman, OH 44512
Phone (330) 726-6700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1083941314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 BOARDMAN CANFIELD RD",
            "address_2": "SUITE 1A",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124278",
            "telephone_number": "330-726-6700",
            "fax_number": "330-965-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 BOARDMAN CANFIELD RD",
            "address_2": "SUITE 1A",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124278",
            "telephone_number": "330-726-6700",
            "fax_number": "330-965-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA MULLANE PADGETT, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "PADGETT",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "330-726-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30021871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2682539",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.