Active NPI
Melissa Tricamo Dean
- Periodontics
- Bedford, TX
National Provider Identifier
1427116458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 21089
- Practice address
- 1717 Airport Fwy
Bedford, TX 76021-5731 - Phone
- (817) 540-2223
- NPI assigned
- Dec 4, 2006
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 21089 | TX | Primary |
Addresses
Primary practice location
1717 Airport Fwy
Bedford, TX 76021-5731
Mailing address
650 International Pkwy Ste 100
Richardson, TX 75081-6613
Phone (817) 540-2223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160425000822 | TX | Order and Referring Only - Dentist | 9537474481 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21089 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1427116458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 INTERNATIONAL PKWY STE 100",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750816613",
"telephone_number": "817-540-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 AIRPORT FWY",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760215731",
"telephone_number": "817-540-2223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRICAMO DEAN",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "21089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.