Melissa Palmieri, B.S., M.A., D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D13873 Issued in MN

Practice address

13000 Technology Dr Unit 100
Eden Prairie, MN 55344-3606

Phone

(952) 562-1463

NPI assigned

Jun 19, 2017

Sex

Female

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 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

Credentials

Bachelor of Science, Master of Arts

State licenses

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497830400000",
    "number": "1578093753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10040 PENN AVE S APT 7",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554312926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 TECHNOLOGY DR UNIT 100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443606",
            "telephone_number": "952-562-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMIERI",
        "first_name": "MELISSA",
        "credential": "B.S., M.A., D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Lynn Otterness, M.S.W., L.I.C.S.W.
• Josephine Owusuah Ottopah, PHARMD
• Hodan Hassan Owsaid
• Richard John Pacini, MD
• Jason Zenon Padniewski, PHARMD
• Kirstin K Palmquist, MS, BCBA
• Miguel Martin Palos, MD
• Park Nicollet
• James Edwin Stone Parker, M.D.
• Robin John Parker, M.D.

• General Practice Dentistry in Eden Prairie, MN
• Providers in Eden Prairie, 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 Jun 19, 2017; 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.