Douglas Enrique Melgar DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DOUGLAS ENRIQUE MELGAR DDS INC

Doing business as

iSmile San Pablo

Practice address

13908 San Pablo Ave
San Pablo, CA 94806-3602

Phone

(510) 237-5570

Fax

(510) 237-5739

NPI assigned

Jun 19, 2013

Organization subpart

No

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

Authorized official

Name

Douglas E Melgar, D.D.S

Title

Owner

Phone

(510) 237-5570

Specialties & licenses 1

Addresses

Other names 1

• iSmile San Pablo Doing business as

Locations

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1477992824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13908 SAN PABLO AVE",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063602",
            "telephone_number": "510-237-5570",
            "fax_number": "510-237-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13908 SAN PABLO AVE",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063602",
            "telephone_number": "510-237-5570",
            "fax_number": "510-237-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS ENRIQUE MELGAR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "MELGAR",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-237-5570",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iSmile San Pablo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Morrell Dodge, MD
• Chime Dolkar, RN
• Evelin Yajaira Dominguez
• Edward Francis Donnelly, PH.D.
• Davita Rochelle Dorsey
• Dr Marvi V Rijhwani
• Sharon Beth Drager, M.D.
• Angela Drake
• Catherine Navelga Dris, PTA
• Maya Deshe Drori, MFT

• General Practice Dentistry in San Pablo, CA
• Providers in San Pablo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.