Melvin Harold Procell, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

3455 Issued in LA

Practice address

5220 Highway 79
Homer, LA 71040-2002

Phone

(318) 927-6787

Fax

(318) 927-4212

NPI assigned

May 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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 LA

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

State licenses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245452234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 HIGHWAY 79",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710402002",
            "telephone_number": "318-927-6787",
            "fax_number": "318-927-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 HIGHWAY 79",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710402002",
            "telephone_number": "318-927-6787",
            "fax_number": "318-927-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCELL",
        "first_name": "MELVIN",
        "middle_name": "HAROLD",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "3455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jariel Eugene Norton
• James Carlton Palmer, D.D.S.
• Pave Center, Inc.
• Pelican Pediatrics, LLC
• Presbyterian Village of Homer
• Katherine Rains, ACNP
• Margie Randall, LPN
• Kimberly Holley Reagan, MD
• Clifton Wales Salmon Jr., M.D.
• Holly Kristen Sanders, PNP

• Dentist in Homer, LA
• Providers in Homer, LA by specialty
• Dentist in Louisiana

• 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.