Melissa Pestlin

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

16971 Issued in TN

Practice address

3575 Keith St NW
Cleveland, TN 37312-4324

Phone

(423) 458-6660

Fax

(423) 339-2095

NPI assigned

Jun 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1609442268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124324",
            "telephone_number": "423-458-6660",
            "fax_number": "423-339-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124324",
            "telephone_number": "423-458-6660",
            "fax_number": "423-339-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESTLIN",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "TN",
            "license": "16971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "melissa.pestlin@ctcprograms.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3575 Keith St NW",
            "city": "Cleveland",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373124324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pediatric Dentistry of Cleveland, LLC
• Peerless Medical Associates
• Peerless Pediatrics, PLLC
• Britney R Perez, RBT
• Kristi Runion Perry, RN, IBCLC
• Kristal Ann Peters, BT
• Karen Aguilar Petersen
• Blake Allen Peterson, OD
• Paula L Peterson, PT
• Phyllis Lee Peterson, PT CHT

• Dental Assistant in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Dental Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.