Active NPI
Bradley Alan Melhus, D.D.S.
- Dentist
- Ames, IA
National Provider Identifier
1578793568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 08818
- Practice address
- 226 SE 16TH St
Ames, IA 50010-8119 - Phone
- (515) 598-5298
- NPI assigned
- Jul 23, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 08818 | IA | Primary |
| Dentist | 122300000X | 6440-15 | WI |
Addresses
Primary practice location
226 SE 16TH St
Ames, IA 50010-8119
Mailing address
226 SE 16TH St
Ames, IA 50010-8119
Phone (515) 598-5298
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 |
|---|---|---|---|
| 08818 | IA | MD | Dentist |
| 6440-15 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309996800000",
"number": "1578793568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 SE 16TH ST",
"city": "AMES",
"state": "IA",
"postal_code": "500108119",
"telephone_number": "515-598-5298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 SE 16TH ST",
"city": "AMES",
"state": "IA",
"postal_code": "500108119",
"telephone_number": "515-598-5298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELHUS",
"first_name": "BRADLEY",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-23",
"last_updated": "2011-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "08818",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6440-15",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.