Active NPI
Melena Evancho Parlette, D.D.S.
- Pediatric Dentistry
- Sparks, MD
National Provider Identifier
1598076564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 14500
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14500 | MD | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Pediatric Dentistry
- Sparks, MD
- NPI 1336823798
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.