Organization Active NPI

Morrisville Family Dental, PLC

  • Dentist
  • Morrisville, VT
National Provider Identifier
1487058137
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0160106899 Issued in VT
Legal business name
MORRISVILLE FAMILY DENTAL, PLC
Practice address
5 Park St.
Suite 365
Morrisville, VT 05661
Phone
(802) 888-3521
Fax
(802) 888-5973
NPI assigned
Oct 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Dr. Dan Melo, DMD
Title
Owner
Phone
(802) 888-3521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0160106899 VT Primary

Addresses

Primary practice location

5 Park St.
Suite 365
Morrisville, VT 05661

Mailing address

5 Park St.
Suite 365
Morrisville, VT 05661
Phone (802) 888-3521

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1487058137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PARK ST.",
            "address_2": "SUITE 365",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "05661",
            "telephone_number": "802-888-3521",
            "fax_number": "802-888-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PARK ST.",
            "address_2": "SUITE 365",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "05661",
            "telephone_number": "802-888-3521",
            "fax_number": "802-888-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRISVILLE FAMILY DENTAL, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "MELO",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-888-3521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VT",
            "license": "0160106899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.