Individual provider Active NPI

Melissa Raye Harrington, RDA

  • Dental Assistant
  • Woodbury, MN
National Provider Identifier
1164528170
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
License
A10621 Issued in MN
Practice address
1789 Woodlane Dr
Suite #D
Woodbury, MN 55125-3910
Phone
(651) 738-1284
Fax
(651) 738-0072
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X A10621 MN Primary

Addresses

Primary practice location

1789 Woodlane Dr
Suite #D
Woodbury, MN 55125-3910

Mailing address

8380 Indian Blvd S
Cottage Grove, MN 55016-2025
Phone (651) 459-4793

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
A10621MNMDDental Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Woodgrove Dental PA Past Accepting new patients

Organizations & group practices 1

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164528170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 INDIAN BLVD S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550162025",
            "telephone_number": "651-459-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 WOODLANE DR",
            "address_2": "SUITE #D",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253910",
            "telephone_number": "651-738-1284",
            "fax_number": "651-738-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRINGTON",
        "first_name": "MELISSA",
        "middle_name": "RAYE",
        "name_prefix": "Miss",
        "credential": "RDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "MN",
            "license": "A10621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.