NPIMap

Organization Active NPI

Brett B. Melgosa DMD Inc

  • Preferred Provider Organization
  • Turlock, CA
National Provider Identifier
1386054013
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
61429 Issued in CA
Legal business name
BRETT B. MELGOSA DMD INC
Practice address
700 Crane Ave
Turlock, CA 95380-4546
Phone
(209) 634-5858
NPI assigned
May 2, 2014
Last updated
May 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Authorized official

Name
Dr. Brett Breinig Melgosa, D.M.DNPI 1528322575
Title
Owner/President/Ceo
Phone
(209) 634-5858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 61429 CA Primary

Addresses

Primary practice location

700 Crane Ave
Turlock, CA 95380-4546

Mailing address

700 Crane Ave
Turlock, CA 95380-4546
Phone (209) 634-5858

National Provider Directory

National Provider Directory
Tax ID family
Brett B Melgosa DMD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1386054013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CRANE AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953804546",
            "telephone_number": "209-634-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CRANE AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953804546",
            "telephone_number": "209-634-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT B. MELGOSA DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "MELGOSA",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "BREINIG",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/CEO",
        "authorized_official_telephone_number": "209-634-5858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "61429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.