Alfonso J Melean, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN-14205 Issued in FL

Practice address

4802 E 7TH Ave
Tampa, FL 33605-4704

Phone

(813) 248-8515

Fax

(813) 241-2709

NPI assigned

Mar 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1609845031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 E 7TH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336054704",
            "telephone_number": "813-248-8515",
            "fax_number": "813-241-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 E 7TH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336054704",
            "telephone_number": "813-248-8515",
            "fax_number": "813-241-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELEAN",
        "first_name": "ALFONSO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN-14205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071409700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melba Lee Inc
• Ashley Nicole Melcho, DPM
• Jeremy Alan Meldrum, DDS
• Christine F Mele, ARNP
• Alfonso Frederick Melean, M.D.
• Dailiana Melendez Sanchez
• Noemi Melendez-Kaylor, PA
• Angelo Melendez
• Bailey Melendez
• Edwin M Melendez, M.D., P.A.

• General Practice Dentistry in Tampa, FL
• Providers in Tampa, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.