Melissa Ray Backman, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

4290 Issued in SC

Practice address

125 Medical Cir
West Columbia, SC 29169-3655

Phone

(803) 796-2637

NPI assigned

May 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• White Knoll Dentistry, LLC

  • Dental Clinic/Center
  • Lexington, SC
  • NPI 1033341433
  NPD (past) Authorized official
• Karen Park Family Dentistry, P.a.

  • Dentist
  • West Columbia, SC
  • NPI 1548228521
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154535052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 LONGWOOD DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290738537",
            "telephone_number": "803-553-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MEDICAL CIR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693655",
            "telephone_number": "803-796-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKMAN",
        "first_name": "MELISSA",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "4290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aziz Mohiuddin, M.D., LLC
• B and B Corporation (Springdale Pharmacy)
• Jennifer Kirke Lewis Babb, APRN
• Babcock Center, Inc.
• Colton W Bachman, AGACNP-BC
• Rachel Leaphart Backman, MSOT, OTR/L
• Briana Bacon
• Janice Lynne Bacon, MD
• Daniel Wayne Bailey, M.D.
• Katie Dawn Bailey, COTA

• Dentist in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.