Melissa A Pitts, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

4505-16 Issued in WI

Practice address

134 W Columbia St
Chippewa Falls, WI 54729-2347

Phone

(715) 723-5581

NPI assigned

Sep 6, 2018

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 names 1

• Melissa A Berg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Sweeney Family Dental Chippewa Falls LLC

  • Dentist
  • Chippewa Falls, WI
  • NPI 1487160925
  NPD (past)

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1346723293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 W COLUMBIA ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W COLUMBIA ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292347",
            "telephone_number": "715-723-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "4505-16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BERG",
            "middle_name": "A",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pharmacare LTD
• Michelle L Phelps, MS LPC
• Phoenix Alternatives, LLC
• Benjamin Pietsch, DMD
• Pink Ribbon Boutique Chippewa Valley LLC
• Pleasures of Home Inc.
• Christopher Ploenzke, PHARMD
• Katie Plotz, MS, LPC
• Jessica J Podolak, M.P.T.
• Lisa Polhamus

• Dental Hygienist in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.