NPIMap

Organization Active NPI

Melko Dental Group

  • Dental Clinic/Center
  • Mountain View, CA
National Provider Identifier
1265971600
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
59565 Issued in CA
Legal business name
MELKO DENTAL GROUP
Practice address
100 W El Camino Real
Suite 74a
Mountain View, CA 94040-2664
Phone
(650) 961-5975
Fax
(650) 625-0468
NPI assigned
Feb 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Shamiram Melko, D.D.SNPI 1134435811
Title
Owner
Phone
(650) 961-5975

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
Dental Clinic/Center 261QD0000X 59565 CA Primary

Addresses

Primary practice location

100 W El Camino Real
Suite 74a
Mountain View, CA 94040-2664

Mailing address

100 W El Camino Real
Suite 74a
Mountain View, CA 94040-2664
Phone (650) 961-5975

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1265971600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W EL CAMINO REAL",
            "address_2": "SUITE 74A",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402664",
            "telephone_number": "650-961-5975",
            "fax_number": "650-625-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W EL CAMINO REAL",
            "address_2": "SUITE 74A",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402664",
            "telephone_number": "650-961-5975",
            "fax_number": "650-625-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELKO DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "MELKO",
        "authorized_official_first_name": "SHAMIRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-961-5975",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "59565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.