Organization Active NPI

Mark J Mele DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Glenside, PA
National Provider Identifier
1205644648
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MARK J MELE DMD
Practice address
2826 Mount Carmel Avenue
Ste C
Glenside, PA 19038-2245
Phone
(215) 886-7880
Fax
(215) 886-0848
NPI assigned
Dec 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Mark J Mele, DMDNPI 1477502177
Title
Doctor
Phone
(215) 886-7880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2826 Mount Carmel Avenue
Ste C
Glenside, PA 19038-2245

Mailing address

2826 Mount Carmel Avenue
Ste C
Glenside, PA 19038-2245
Phone (215) 886-7880

National Provider Directory

National Provider Directory

Locations

2826 Mount Carmel Ave
Ste C
Glenside, PA 19038
Phone (215) 886-7880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1205644648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 MOUNT CARMEL AVENUE",
            "address_2": "STE C",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190382245",
            "telephone_number": "215-886-7880",
            "fax_number": "215-886-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 MOUNT CARMEL AVENUE",
            "address_2": "STE C",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190382245",
            "telephone_number": "215-886-7880",
            "fax_number": "215-886-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J MELE DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "MELE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "215-886-7880",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenside, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.