Active NPI
Gregg Raymond Melfi, DDS
- Dentist
- Milton, MA
National Provider Identifier
1619035250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 20231
- Practice address
- 480 Adams Street
Suite 104
Milton, MA 02186 - Phone
- (617) 698-0600
- Fax
- (617) 696-3589
- NPI assigned
- Dec 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 20231 | MA | Primary |
| Dentist | 122300000X | 2159 | RI |
Addresses
Primary practice location
480 Adams Street
Suite 104
Milton, MA 02186
Mailing address
480 Adams Street
Suite 104
Milton, MA 02186
Phone (617) 698-0600
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 |
|---|---|---|---|
| 2159 | RI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental 1 Inc | Dentist | Past | Accepting new patients |
| Dental 1, P.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Milton, MA
- NPI 1245332949
-
- General Practice Dentistry
- Milton, MA
- NPI 1801100136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619035250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 ADAMS STREET",
"address_2": "SUITE 104",
"city": "MILTON",
"state": "MA",
"postal_code": "02186",
"telephone_number": "617-698-0600",
"fax_number": "617-696-3589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 ADAMS STREET",
"address_2": "SUITE 104",
"city": "MILTON",
"state": "MA",
"postal_code": "02186",
"telephone_number": "617-698-0600",
"fax_number": "617-696-3589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELFI",
"first_name": "GREGG",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "20231",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "RI",
"license": "2159",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milton, MA
Sources for this page
- 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.