Melissa L. Gerke, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

17669 Issued in TX

Practice address

2448 Becker Dr
Suite 100
Brenham, TX 77833-5714

Phone

(979) 836-0590

NPI assigned

Jun 21, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Melissa Gerke Lyons Other name

Medicare fee-for-service enrollment

Enrolled in TX

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Melissa L. Gerke, DDS, PA

  • General Practice Dentistry
  • Brenham, TX
  • NPI 1508245341
  NPD (past) Authorized official

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432512000000",
    "number": "1285630608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 BECKER DR",
            "address_2": "SUITE 100",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335714",
            "telephone_number": "979-836-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 BECKER DR",
            "address_2": "SUITE 100",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335714",
            "telephone_number": "979-836-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERKE",
        "first_name": "MELISSA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2015-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "17669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "LYONS",
            "middle_name": "GERKE",
            "prefix": "MRS.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Garral Tiaden, O.D.
• Gary L. Appelt, MD,PA
• Gazebo Terrace Convalescent Center
• Gazebo Terrace Skilled Care and Rehabilitation, LLC
• Gentletouch Healthcare, Inc.
• Tammy Goebel, PT
• Jennifer Goforth, COTA
• Leroy Gonzales, LPC
• Aaron E Gonzalez, HIS
• David Edwardo Gonzalez

• Dentist in Brenham, TX
• Providers in Brenham, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2015; 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.