Jose Luis Melgoza, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

41652 Issued in CA

Practice address

3679 Arlington Ave
Riverside, CA 92506

Phone

(951) 683-1811

Fax

(951) 786-0700

NPI assigned

May 11, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Kurt J Greenway DDS

  dba Greenway Dental Excellence

  • Dental Clinic/Center
  • Riverside, CA
  • NPI 1932645157
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598970923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13874 WINDROSE AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928808938",
            "telephone_number": "909-361-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3679 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92506",
            "telephone_number": "951-683-1811",
            "fax_number": "951-786-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELGOZA",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calista Melano
• Alissa Ann Melendez, PSY.D.
• Maira Melendez, FNP-C
• Karen Melendrez
• Lourdes Maria Melendrez
• Kristen Carol Melgoza
• Melisa a Erick MD Inc
• Melisa a. Erick, M.D., Inc.
• Sherry Lynn Mellott, AMFT
• Myrian Elizabeth Melnechuk, OT

• Dentist in Riverside, CA
• Providers in Riverside, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.