Archibald Louis Melcher IV, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6748 Issued in LA

Practice address

40470 Germany Rd
Gonzales, LA 70737-6735

Phone

(504) 756-0940

NPI assigned

May 19, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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.

• Dr Archibald L Melcher IV LLC

  • Dental Clinic/Center
  • Harahan, LA
  • NPI 1336602291
  NPD (past) Authorized official

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495152000000",
    "number": "1346777448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 DREYFOUS AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700061222",
            "telephone_number": "504-756-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40470 GERMANY RD",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376735",
            "telephone_number": "504-756-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELCHER",
        "first_name": "ARCHIBALD",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-19",
        "last_updated": "2017-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Management Enterprises
• Medical Management Enterprises
• Medical Management Enterprises Inc
• Medical Management Enterprises Inc
• Medicine Shoppe of Greater BR Inc
• Allison Day Menard, R.PH.
• Shonathan Edward Merricks, FNP-BC
• Lance Joseph Miguez, LPC
• Josten Nishan Milan
• Christiona Miles

• Dentist in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2017; 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.