Organization Active NPI

Melissa Blake DMD, PLLC (Dba Everlasting Light Pediatric Dentistry)

  • Pediatric Dentistry
  • Greensboro, NC
National Provider Identifier
1356257109
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
MELISSA BLAKE DMD, PLLC (DBA EVERLASTING LIGHT PEDIATRIC DENTISTRY)
Practice address
2970 Mearns Castle Drive
Suite 102
Greensboro, NC 27409
Phone
(336) 364-5223
NPI assigned
Aug 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Melissa Blake, DMD
Title
Pediatric Dentist
Phone
(336) 364-5223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2970 Mearns Castle Drive
Suite 102
Greensboro, NC 27409

Mailing address

2970 Mearns Castle Drive
Suite 101
Greensboro, NC 27405
Phone (774) 251-1137

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1356257109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 MEARNS CASTLE DRIVE",
            "address_2": "SUITE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27405",
            "telephone_number": "774-251-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 MEARNS CASTLE DRIVE",
            "address_2": "SUITE 102",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27409",
            "telephone_number": "336-364-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA BLAKE DMD, PLLC (DBA EVERLASTING LIGHT PEDIATRIC DENTISTRY)",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "336-364-5223",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.