Clelie Claire Carpenter Melancon, M.D.

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

S5435 Issued in TX

Practice address

6655 Travis St Ste 900
Houston, TX 77030-1336

Phone

(713) 526-5665

NPI assigned

Apr 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1255750436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 TRAVIS ST STE 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301336",
            "telephone_number": "713-526-5665",
            "fax_number": "713-526-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 TRAVIS ST STE 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301336",
            "telephone_number": "713-526-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELANCON",
        "first_name": "CLELIE",
        "middle_name": "CLAIRE CARPENTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "TX",
            "license": "S5435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "NA",
            "address_1": "6655 Travis St Ste 900",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770301336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meks Health Services Inc
• Meks Total Care
• Mel Man Transportation LLC
• Samuel Melack
• Evan Melamed, D.D.S.
• Judd T Melancon, ACNP
• Melanie Leblanc Farzam, D.D.S., P.L.L.C. (FMS Dental)
• Melanie Mencer, M.D., P.a. (Synergy Medical & Wellness Group)
• Melanie Simpson LLC
• Melanie Springer MD PA

• Otolaryngology/Facial Plastic Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.