Individual provider Active NPI

Brett Breinig Melgosa, D.M.D.

  • General Practice Dentistry
  • Turlock, CA
National Provider Identifier
1528322575
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61429 Issued in CA
Practice address
700 Crane Ave
Turlock, CA 95380-4546
Phone
(209) 634-5858
NPI assigned
Jun 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 61429 CA Primary

Addresses

Primary practice location

700 Crane Ave
Turlock, CA 95380-4546

Mailing address

700 Crane Ave
Turlock, CA 95380-4546
Phone (209) 634-5858

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
61429CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Duc H. Nguyen, DDS, Inc PastSince Mar 26, 2023 Accepting new patients
Brett B. Melgosa DMD Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1528322575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CRANE AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953804546",
            "telephone_number": "209-634-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CRANE AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953804546",
            "telephone_number": "209-634-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELGOSA",
        "first_name": "BRETT",
        "middle_name": "BREINIG",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.