Melody Jean Pendleton Greene, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

RES90 Issued in ME

Practice address

1684 Poplar Ave
Memphis, TN 38104-2583

Phone

(901) 861-9668

NPI assigned

Jul 25, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1386922474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 YORK AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381045126",
            "telephone_number": "901-674-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042583",
            "telephone_number": "901-861-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLETON GREENE",
        "first_name": "MELODY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9295",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "9295",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "RES90",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1524862",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen K Pembroke, CRNA
• Ernesto Antonio Pena-Tejeda
• Mary M Pena, CRNA
• Tama Delana Pence, LPC-MHSP
• Landon Pendergrass, M.D.
• Teisha Lashae Pendleton
• Bradford Daniel Pendley, PH.D., M.D.
• Pendlove Inc
• Gina Peng, PHARMD
• Ronald Penn Jr.

• Dentist in Memphis, TN
• Providers in Memphis, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.