Organization Active NPI

Mariya Melnik Costa DMD PC

  • Dentist
  • Eugene, OR
National Provider Identifier
1235022682
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MARIYA MELNIK COSTA DMD PC
Practice address
2233 Willamette St Ste B1
Eugene, OR 97405-2890
Phone
(541) 485-6644
Fax
(541) 219-5497
NPI assigned
Jun 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Edward T Costa Jr.
Title
Office Manager
Phone
(541) 485-6644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2233 Willamette St Ste B1
Eugene, OR 97405-2890

Mailing address

2233 Willamette St Ste B1
Eugene, OR 97405-2890
Phone (541) 485-6644

Other names 2

  • Amazon Creek Dental Doing business as
  • Mariya s Melnik DMD PC Former legal business name

National Provider Directory

National Provider Directory

Locations

2233 Willamette St
Ste B1
Eugene, OR 97405
Phone (541) 485-6644

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": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1235022682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 WILLAMETTE ST STE B1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052890",
            "telephone_number": "541-485-6644",
            "fax_number": "541-219-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 WILLAMETTE ST STE B1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052890",
            "telephone_number": "541-485-6644",
            "fax_number": "541-219-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIYA MELNIK COSTA DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-485-6644",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amazon Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mariya s Melnik DMD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.