Active NPI
Melissa Lundgren, RDH
- Dental Hygienist
- Lone Tree, CO
National Provider Identifier
1336508779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH.0000903427
- Practice address
- 7430 Park Meadows Dr
Lone Tree, CO 80124-2559 - Phone
- (303) 790-2323
- NPI assigned
- Feb 13, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH.0000903427 | CO | Primary |
Addresses
Primary practice location
7430 Park Meadows Dr
Lone Tree, CO 80124-2559
Mailing address
7430 Park Meadows Dr
Lone Tree, CO 80124-2559
Phone (303) 790-2323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH.0000903427 | CO | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455321600000",
"number": "1336508779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7430 PARK MEADOWS DR",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801242559",
"telephone_number": "303-790-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7430 PARK MEADOWS DR",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801242559",
"telephone_number": "303-790-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDGREN",
"first_name": "MELISSA",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-13",
"last_updated": "2016-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CO",
"license": "DH.0000903427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lone Tree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.