Active NPI
Mark Donald Melde, D.M.D.
- Endodontics
- Yuma, AZ
National Provider Identifier
1194843706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 2839
- Practice address
- 1150 W. 24TH Street
Suite E
Yuma, AZ 85364 - Phone
- (928) 343-1226
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 2839 | AZ | Primary |
Addresses
Primary practice location
1150 W. 24TH Street
Suite E
Yuma, AZ 85364
Mailing address
1150 W. 24TH Street
Suite E
Yuma, AZ 85364
Phone (928) 343-1226
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2839 | AZ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259798400000",
"number": "1194843706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 W. 24TH STREET",
"address_2": "SUITE E",
"city": "YUMA",
"state": "AZ",
"postal_code": "85364",
"telephone_number": "928-343-1226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 W. 24TH STREET",
"address_2": "SUITE E",
"city": "YUMA",
"state": "AZ",
"postal_code": "85364",
"telephone_number": "928-343-1226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELDE",
"first_name": "MARK",
"middle_name": "DONALD",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2009-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "AZ",
"license": "2839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.