Individual provider Active NPI

Melena Evancho Parlette, D.D.S.

  • Pediatric Dentistry
  • Sparks, MD
National Provider Identifier
1598076564
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
14500 Issued in MD
Practice address
100 Sparks Valley Rd
Ste C
Sparks, MD 21152-9342
Phone
(410) 771-8200
Fax
(410) 771-8201
NPI assigned
Jun 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 14500 MD Primary

Addresses

Primary practice location

100 Sparks Valley Rd
Ste C
Sparks, MD 21152-9342

Mailing address

15039 Jarrettsvl Pike
Monkton, MD 21111-2405
Phone (570) 956-7867

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

LicenseStateTypeSpecialty
14500MDMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sparks Pediatric Dentistry Pediatric Dentistry Current Accepting new patients

Locations

100 Sparks Valley Rd
Ste C
Sparks Glencoe, MD 21152
Phone (410) 771-8100

Interoperability endpoints

  • Direct secure messaging: mevancho61361@direct.umm.edu

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1598076564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15039 JARRETTSVL PIKE",
            "city": "MONKTON",
            "state": "MD",
            "postal_code": "211112405",
            "telephone_number": "570-956-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPARKS VALLEY RD",
            "address_2": "STE C",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529342",
            "telephone_number": "410-771-8200",
            "fax_number": "410-771-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARLETTE",
        "first_name": "MELENA",
        "middle_name": "EVANCHO",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "14500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.