Melissa Tini Ngo Logan, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

203764 Issued in CO

Practice address

7650 W Virginia Ave Unit a
Lakewood, CO 80226-3131

Phone

(561) 254-5404

NPI assigned

Apr 14, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1124344288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 S BEECH ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802283012",
            "telephone_number": "561-254-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 W VIRGINIA AVE UNIT A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263131",
            "telephone_number": "561-254-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "MELISSA",
        "middle_name": "TINI NGO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "203764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Loesch
• Charlotte Corinne Loewes
• Matthew C Loftspring, MD
• Joanna Loftus, MD, LPC, LAC
• Jeri A. Logan, DDS
• Alicia Cecilia Logue
• Christine Logue
• Constance E Logue, RN
• Loma Eye Care, LLC
• Arianna Lombardi, RN

• General Practice Dentistry in Lakewood, CO
• Providers in Lakewood, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.