Individual provider Active NPI

Philip Melchers

  • Dentist
  • Mt Pleasant, SC
National Provider Identifier
1124540885
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8968 Issued in SC
Practice address
1309 Warrick LN
Mt Pleasant, SC 29464-4539
Phone
(843) 881-0668
NPI assigned
Jul 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8968 SC Primary

Addresses

Primary practice location

1309 Warrick LN
Mt Pleasant, SC 29464-4539

Mailing address

1309 Warrick LN
Mt Pleasant, SC 29464-4539
Phone (843) 881-0668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8968SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Philip E Melchers Dentistry DMD LLC CurrentSince Jul 24, 2022 Accepting new patients
J Ted Melchers III DMD LLC Dentist PastSince Jul 10, 2022 Accepting new patients

Locations

1309 Warrick Ln
Mt Pleasant, SC 29464
Phone (843) 881-0668

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1124540885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 WARRICK LN",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294644539",
            "telephone_number": "843-881-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 WARRICK LN",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294644539",
            "telephone_number": "843-881-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELCHERS",
        "first_name": "PHILIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-13",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "8968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.