Melinda Wheeler Pruitt DDS, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

49719 Issued in CA

Legal business name

MELINDA WHEELER PRUITT DDS, INC

Practice address

1245 16TH St Ste 209
Santa Monica, CA 90404-1240

Phone

(310) 453-1223

Fax

(310) 453-8757

NPI assigned

Feb 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Melinda Wheeler Pruitt, DDSNPI 1265562730

Title

Owner/Dentist

Phone

(310) 453-1223

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melinda Wheeler Pruitt, D.D.S

  • General Practice Dentistry
  • Santa Monica, CA
  • NPI 1265562730
  NPD (past) Authorized official
• Michael Horwitz, D.D.S.

  • General Practice Dentistry
  • Santa Monica, CA
  • NPI 1295865566
  NPD (past)

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1104066455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 16TH ST STE 209",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041240",
            "telephone_number": "310-453-1223",
            "fax_number": "310-453-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 16TH ST STE 209",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041240",
            "telephone_number": "310-453-1223",
            "fax_number": "310-453-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELINDA WHEELER PRUITT DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "WHEELER",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "310-453-1223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hardik Mehta, MD
• Stephen B. Meisel, M.D.
• Oleg Melamed, MD
• Sheila Rachel Melekh-Shalom
• Antonio Melgoza
• Melissa Peters Speech Pathology Inc
• Alex Melkumian, LMFT
• Meri Meloyan, MPT
• Shelley Maree Melvin, NP
• Mayra Mendez, PH.D.

• Dentist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.