Individual provider Active NPI

Darlene Christine Melton, B.A., D.D.S.

  • Dentist
  • Geneva, IL
National Provider Identifier
1386866127
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.022916 Issued in IL
Practice address
403 Williamsburg Ave
Geneva, IL 60134-1091
Phone
(630) 208-7668
NPI assigned
May 2, 2007
Last updated
Aug 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.022916 IL Primary

Addresses

Primary practice location

403 Williamsburg Ave
Geneva, IL 60134-1091

Mailing address

522 Chestnut St
Hinsdale, IL 60521-3171
Phone (630) 655-3636

Other identifiers 2

IdentifierTypeStateIssuer
019.022916OtherILIL DENTAL LICENSE #
021.00160OtherILIL DENTAL SPECIALIST #

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
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
019.022916ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr James G Heffernan DDS,PC Past Accepting new patients
Alayna Corden DMD, Ms, PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1386866127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 CHESTNUT ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213171",
            "telephone_number": "630-655-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 WILLIAMSBURG AVE",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341091",
            "telephone_number": "630-208-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTON",
        "first_name": "DARLENE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "B.A., D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.022916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL DENTAL LICENSE #",
            "identifier": "019.022916",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL DENTAL SPECIALIST #",
            "identifier": "021.00160",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.