Organization Active NPI

Melissa Deniel PLC

  • Orthopaedic Surgery Physician
  • Grand Rapids, MI
National Provider Identifier
1245493915
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301061790 Issued in MI
Legal business name
MELISSA DENIEL PLC
Practice address
877 Forest Hill Ave SE
Suite C
Grand Rapids, MI 49546-2380
Phone
(616) 949-4400
Fax
(616) 949-4424
NPI assigned
Jul 3, 2008
Last updated
Sep 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Authorized official

Name
Melissa Ann Deniel, M.D.
Title
Owner
Phone
(616) 949-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301061790 MI Primary

Addresses

Primary practice location

877 Forest Hill Ave SE
Suite C
Grand Rapids, MI 49546-2380

Mailing address

877 Forest Hill Ave SE
Suite C
Grand Rapids, MI 49546-2380
Phone (616) 949-4400

National Provider Directory

National Provider Directory

Locations

877 Forest Hill Ave SE
Ste C
Grand Rapids, MI 49546
Phone (616) 949-4400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1245493915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 FOREST HILL AVE SE",
            "address_2": "SUITE C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462380",
            "telephone_number": "616-949-4400",
            "fax_number": "616-949-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 FOREST HILL AVE SE",
            "address_2": "SUITE C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462380",
            "telephone_number": "616-949-4400",
            "fax_number": "616-949-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA DENIEL PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "DENIEL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-949-4400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301061790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.