Ricardo Ulises Melchor, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12667 Issued in NC

Practice address

2221 Maple Ave
Burlington, NC 27215-7144

Phone

(336) 338-5851

NPI assigned

Jun 6, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Londry& Modlin V DDS PLLC

  • General Practice Dentistry
  • Madison, NC
  • NPI 1275199234
  NPD (past)
• William H. Lewis, Jr. DDS PA

  • Dental Clinic/Center
  • Madison, NC
  • NPI 1538331004
  NPD (past)

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1407415250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 FIELDBROOK DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551121",
            "telephone_number": "505-710-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 MAPLE AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272157144",
            "telephone_number": "336-338-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELCHOR",
        "first_name": "RICARDO",
        "middle_name": "ULISES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-06",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12667",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.032161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Village Apothecary Inc
• Medical Village Apothecary Inc
• Medisolutions, Inc.
• Medisolutions, Inc.
• Whitney Lynanne Meeler
• Alexander Wayne Meloy, PA-C
• Jameelah Ayesha Melton, M.D.
• Bonnie J. Melville, ANP
• Mental & Behavioral Healthcare Services,L.L.C.
• Michael Joseph Menz, MD

• General Practice Dentistry in Burlington, NC
• Providers in Burlington, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.