Active NPI
Melissa T Roden, D.M.D.
- Dentist
- Birmingham, AL
National Provider Identifier
1518240779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5877
- Practice address
- 4701 Misty Ridge Cir
Birmingham, AL 35235-8688 - Phone
- (205) 508-3403
- NPI assigned
- Sep 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5877 | AL | Primary |
Addresses
Primary practice location
4701 Misty Ridge Cir
Birmingham, AL 35235-8688
Mailing address
4701 Misty Ridge Cir
Birmingham, AL 35235-8688
Phone (205) 508-3403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121102000011 | AL | Order and Referring Only - Oral Surgery | 2668622440 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5877 | AL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meredith Tubbs Rohling DMD PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Birmingham, AL
- NPI 1497191589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457827200000",
"number": "1518240779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 MISTY RIDGE CIR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352358688",
"telephone_number": "205-508-3403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 MISTY RIDGE CIR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352358688",
"telephone_number": "205-508-3403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODEN",
"first_name": "MELISSA",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-23",
"last_updated": "2016-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "5877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
- Brandon G Rocque, M.D.
- Gabrielle Rocque
- Ryan Rebekah Roddy, M.D.
- Roden-Oms, LLC (Roden Oral, Facial, and Dental Implant Surgery)
- Christopher Dewayne Roden, CRNP
- Ralph David Roden Jr., DMD, MD
- Rodgers Professional Services LLC
- Brian Scott Rodgers, LPC
- Grayson K Rodgers, M.D.
- Mackenzie Dreher Rodgers, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.