Active NPI
Theresa Mellion, DMD, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Massillon, OH
National Provider Identifier
1386065688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 1386065688
- Practice address
- 3235 Wales Ave NW
Massillon, OH 44646-1841 - Phone
- (330) 833-3335
- Fax
- (330) 833-5404
- NPI assigned
- Jan 4, 2014
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 1386065688 | OH | Primary |
Addresses
Primary practice location
3235 Wales Ave NW
Massillon, OH 44646-1841
Mailing address
3235 Wales Ave NW
Massillon, OH 44646-1841
Phone (330) 833-3335
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1386065688 | OH | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481068800000",
"number": "1386065688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3235 WALES AVE NW",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446461841",
"telephone_number": "330-833-3335",
"fax_number": "330-833-5404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3235 WALES AVE NW",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446461841",
"telephone_number": "330-833-3335",
"fax_number": "330-833-5404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLION",
"first_name": "THERESA",
"name_prefix": "Dr.",
"credential": "DMD, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-04",
"last_updated": "2016-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "OH",
"license": "1386065688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.