Lisa A Mello

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH10340 Issued in MA

Practice address

92 Faunce Corner Rd Unit 120
N Dartmouth, MA 02747-1262

Phone

(508) 997-1221

Fax

(508) 858-0622

NPI assigned

May 23, 2011

Last updated

May 23, 2011By 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

Other identifiers 1

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": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1508159625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 FAUNCE CORNER RD UNIT 120",
            "city": "N DARTMOUTH",
            "state": "MA",
            "postal_code": "027471262",
            "telephone_number": "508-997-1221",
            "fax_number": "508-858-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 FAUNCE CORNER RD UNIT 120",
            "city": "N DARTMOUTH",
            "state": "MA",
            "postal_code": "027471262",
            "telephone_number": "508-997-1221",
            "fax_number": "508-858-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLO",
        "first_name": "LISA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MA",
            "license": "DH10340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS BOARD OF DENTISTRY",
            "identifier": "DH10340",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark S Grenier DMD PC
• Karen Markey
• Daniel Martin, MD
• Mary K McCurry, PHD, ANP, ACNP
• Gordon M McLennan, PSY.D.
• Felicia Mendonca, DNP
• Lori B Michaud, O.D.
• Mark J Milano, D.D.S.
• Avery Elizabeth Moore
• Bryan Daniel Murphy, O.D.

• Dental Hygienist in N Dartmouth, MA
• Providers in N Dartmouth, MA by specialty
• Dental Hygienist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; 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.