Igor Melnik, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

056543 Issued in NY

Practice address

2549 Vestal Pkwy E
Vestal, NY 13850-2083

Phone

(917) 755-6258

NPI assigned

Sep 20, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1316298078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2549 VESTAL PKWY E",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138502083",
            "telephone_number": "917-755-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2549 VESTAL PKWY E",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138502083",
            "telephone_number": "917-755-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELNIK",
        "first_name": "IGOR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-20",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056543",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "010771",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George D McLean, PT
• Meadow Nursing Services
• Ronald Austin Meeker, OD
• Kinner A Mehta, M.D.
• Regina M Meis, M.D.
• Patricia Mercuri, DDS
• Emily Merhavy, PT
• MF Medical Consulting PLLC
• Amanda Micholychak
• Luis Midence, PHARMD

• General Practice Dentistry in Vestal, NY
• Providers in Vestal, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.