Active NPI
Brett Breinig Melgosa, D.M.D.
- General Practice Dentistry
- Turlock, CA
National Provider Identifier
1528322575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 61429
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 61429 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duc H. Nguyen, DDS, Inc | Past | 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.
-
- Preferred Provider Organization
- Turlock, CA
- NPI 1386054013
-
- Dentist
- Turlock, CA
- NPI 1437852233
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.