Melissa C. Davidian, DDS/Davidian Family and Cosmetic Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7060 Issued in NC

Legal business name

MELISSA C. DAVIDIAN, DDS/DAVIDIAN FAMILY AND COSMETIC DENTISTRY

Practice address

12740 Spruce Tree Way
Suite 104
Raleigh, NC 27614-8295

Phone

(919) 562-2345

Fax

(919) 562-2365

NPI assigned

May 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Melissa C. Davidian, DDSNPI 1215088133

Title

Dentist, Owner

Phone

(919) 562-2345

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Church Davidian, DDS

  • Dentist
  • Raleigh, NC
  • NPI 1215088133
  NPD (past) Authorized official

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1578720892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12740 SPRUCE TREE WAY",
            "address_2": "SUITE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148295",
            "telephone_number": "919-562-2345",
            "fax_number": "919-562-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12740 SPRUCE TREE WAY",
            "address_2": "SUITE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148295",
            "telephone_number": "919-562-2345",
            "fax_number": "919-562-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA C. DAVIDIAN, DDS/DAVIDIAN FAMILY AND COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "DAVIDIAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DENTIST, OWNER",
        "authorized_official_telephone_number": "919-562-2345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL IPN #",
            "identifier": "1215088133",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph William Melamed, M.D.
• Melange Health Solutions, LLC
• Justin Melanson, MS, ATC, LAT, CSCS
• Betsy Melcher, P.A.
• Katherine Melillo, SLP
• Melissa C. Stebick, Marriage and Family Therapist, LLC
• Melissa Stewart
• Thomas Mellette, MS, RD, LDN, CNSC
• Sheri Ann Mello, AU.D.
• Samantha Marie Mellor

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.