NPIMap

Organization Active NPI

Melissa Mertely, PLLC

  • Dental Clinic/Center
  • Kinston, NC
National Provider Identifier
1104584986
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MELISSA MERTELY, PLLC
Practice address
315 Airport Rd
Kinston, NC 28504-8209
Phone
(252) 522-1333
NPI assigned
Nov 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Authorized official

Name
Dr. Melissa Marie Mertely, DDSNPI 1902421803
Title
Dentist
Phone
(813) 496-3297

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

315 Airport Rd
Kinston, NC 28504-8209

Mailing address

315 Airport Rd
Kinston, NC 28504-8209
Phone (813) 495-3297

Other names 2

  • Melissa Mertely Doing business as
  • Melissa Mertely, DDS Doing business as

National Provider Directory

National Provider Directory

Locations

315 Airport Rd
Kinston, NC 28504
Phone (252) 522-1333

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1104584986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 AIRPORT RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285048209",
            "telephone_number": "813-495-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 AIRPORT RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285048209",
            "telephone_number": "252-522-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA MERTELY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "MERTELY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "813-496-3297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melissa Mertely",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Melissa Mertely",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Melissa Mertely, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.