Melissa Roxane Purucker, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2902013670 Issued in MI

Practice address

500 N Jackson St
Jackson, MI 49201-1223

Phone

(517) 748-5500

NPI assigned

Mar 16, 2021

Last updated

Mar 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1467037812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 25 MILE RD",
            "city": "HOMER",
            "state": "MI",
            "postal_code": "492459641",
            "telephone_number": "517-945-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N JACKSON ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011223",
            "telephone_number": "517-748-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURUCKER",
        "first_name": "MELISSA",
        "middle_name": "ROXANE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "2902013670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpurucker@cfhinc.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "500 N Jackson St",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492011223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpurucker707022@direct.hfhs.org",
            "affiliation": "Y",
            "affiliationName": "Henry Ford Health System",
            "address_1": "2799 W Grand Blvd",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482022608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pura Vida Smiles, PC
• Amy Purchis
• Bruce Hilary Purmell, D.D.S
• Surendar S Purohit, M.D.
• Mary Anne Purtill, M.D.
• Heidi Renee Pusey, CNP
• Steven Howard Putnam, PHD
• Laura Marie Putney, LMSW
• Leon Puttler, PH.D.
• Jessica Pyke

• Dental Hygienist in Jackson, MI
• Providers in Jackson, MI by specialty
• Dental Hygienist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.