Gregg Raymond Melfi, DDS

Key facts

NPI

1619035250

Entity type

Individual (NPI type 1)

Primary specialty

Dentist 122300000X

License

20231 (MA)

Practice address

480 Adams Street
Suite 104
Milton, MA 02186

Phone

(617) 698-0600

Fax

(617) 696-3589

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Dental 1 Inc Dentist · Milton, MA · NPI 1245332949
  NPD (past) Authorized official DENTIST
• Dental 1, P.C. General Practice Dentistry · Milton, MA · NPI 1801100136
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "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": []
}

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All providers in Milton, MA · Dentist in Massachusetts