NPIMap

Organization Active NPI

Melissa L. Gerke, DDS, PA

  • General Practice Dentistry
  • Brenham, TX
National Provider Identifier
1508245341
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17669 Issued in TX
Legal business name
MELISSA L. GERKE, DDS, PA
Practice address
2448 Becker Dr Ste 100
Brenham, TX 77833-5714
Phone
(979) 836-0590
NPI assigned
May 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Dr. Melissa Lynn Gerke, DDSNPI 1285630608
Title
President, Secretary, & Treasurer
Phone
(979) 836-0590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 17669 TX Primary

Addresses

Primary practice location

2448 Becker Dr Ste 100
Brenham, TX 77833-5714

Mailing address

16614 Rose Bay TRL
Cypress, TX 77429-4934
Phone (281) 256-3326

National Provider Directory

National Provider Directory

Locations

2448 Becker Dr
Ste 100
Brenham, TX 77833
Phone (979) 836-0590

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1508245341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16614 ROSE BAY TRL",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294934",
            "telephone_number": "281-256-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 BECKER DR STE 100",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335714",
            "telephone_number": "979-836-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA L. GERKE, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "GERKE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT, SECRETARY, & TREASURER",
        "authorized_official_telephone_number": "979-836-0590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brenham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.