Individual provider Active NPI

Matthew Melcher, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Louisville, CO
National Provider Identifier
1518665678
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DEN.00204383 Issued in CO
Practice address
315 W South Boulder Rd Ste 111
Louisville, CO 80027-1157
Phone
(303) 666-9717
NPI assigned
Feb 20, 2023
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DEN.00204383 CO Primary

Addresses

Primary practice location

315 W South Boulder Rd Ste 111
Louisville, CO 80027-1157

Mailing address

699 Rock Ridge Dr
Lafayette, CO 80026-8701
Phone (303) 907-0997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00204383COMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Melcher Orthodontics, LLC Orthodontics and Dentofacial Orthopedics CurrentSince Dec 17, 2023 Accepting new patients
Thomas J Melcher DDS Ms PC Orthodontics and Dentofacial Orthopedics PastSince Feb 26, 2023 Accepting new patients

Locations

315 W South Boulder Rd
Ste 111
Louisville, CO 80027
Phone (303) 666-9717

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1518665678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 ROCK RIDGE DR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268701",
            "telephone_number": "303-907-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W SOUTH BOULDER RD STE 111",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271157",
            "telephone_number": "303-666-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELCHER",
        "first_name": "MATTHEW",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "DEN.00204383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.