Vladimir Melnikov, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28195 Issued in TX

Practice address

3621 Mason Dr
Plano, TX 75025-4459

Phone

(214) 232-5370

NPI assigned

Jul 25, 2012

Sex

Male

Sole proprietor

No

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 TX

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

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1538415740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 MASON DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750254459",
            "telephone_number": "214-232-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 MASON DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750254459",
            "telephone_number": "214-232-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELNIKOV",
        "first_name": "VLADIMIR",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-25",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mel Plano LLC (My Eyelab)
• Melanie Blass, LPC, PLLC
• Nicole Melgarejo
• Matthew Melia
• Melinda D Spooner MD PA (OB-GYN Healthcare Associates)
• Jack Forrest Melton, M.D.
• Michael W Melton, D.D.S.
• Lyn Meltzer, SLPA
• Haniah Memon
• Memorial Pain Management

• General Practice Dentistry in Plano, TX
• Providers in Plano, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.