Melissa Pierson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11273 Issued in MN

Practice address

538 Main St S
Suite 130
Cambridge, MN 55008-1614

Phone

(763) 552-1616

Fax

(763) 552-1617

NPI assigned

May 31, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Melissa L. Hutchens DDS PA

  • General Practice Dentistry
  • Cambridge, MN
  • NPI 1548334709
  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1538360847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 MAIN ST S",
            "address_2": "SUITE 130",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081614",
            "telephone_number": "763-552-1616",
            "fax_number": "763-552-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 MAIN ST S",
            "address_2": "SUITE 130",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081614",
            "telephone_number": "763-552-1616",
            "fax_number": "763-552-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Peterson
• Stephanie Peterson, M.A.
• McKenzie Adeline Petschl
• Charles J Phillips, MD
• PHS/Cambridge Care Center, LLC
• Sandra Pliam
• Mark A Pocrnich, D.D.S.
• Tia Portillo
• Elizabeth Laura Pouliot, OTD, OTR/L
• David Clark Poulter, PT

• General Practice Dentistry in Cambridge, MN
• Providers in Cambridge, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.

Verify at the official NPI Registry.