Melissa M. Beadnell D.M.D. P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D9189 Issued in OR

Legal business name

MELISSA M. BEADNELL D.M.D. P.C.

Practice address

1616 SW Sunset Blvd
Suite a
Portland, OR 97239-2641

Phone

(503) 244-4837

NPI assigned

Jul 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Marie Hutton-Beadnell, D.M.D.

Title

Dentist

Phone

(503) 244-4837

Specialties & licenses 1

Addresses

Other names 1

• Beadnell Family Dentistry Doing business as

Locations

Practitioners 1

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

• Melissa Marie Beadnell, D.M.D.

  • General Practice Dentistry
  • Portland, OR
  • NPI 1316191307
  NPD (past)

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1104138494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 SW SUNSET BLVD",
            "address_2": "SUITE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972392641",
            "telephone_number": "503-244-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 SW SUNSET BLVD",
            "address_2": "SUITE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972392641",
            "telephone_number": "503-244-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA M. BEADNELL D.M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-02",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "HUTTON-BEADNELL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-244-4837",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D9189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beadnell Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melisa Alvarez Therapy LLC
• Melissa Bensink, LLC
• Melissa Eshelman, MD, LLC
• Melissa Girgis Nutrition
• Melissa J. Wages, DDS PC
• Melissa Miesen, PC
• Melissa Yeary LPC, LLC
• Carole Anne Melkonian, LAC, RN
• Marie Mellberg, MS, CRC, LPC
• Assefash Melles, MS

• Dental Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.