Melanie Paige-Brown

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2743-93 Issued in MS

Practice address

989 Ellis Ave
Jackson, MS 39209-6256

Phone

(601) 354-3557

NPI assigned

Jun 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649210477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 ELLIS AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39209",
            "telephone_number": "601-354-3557",
            "fax_number": "601-354-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 ELLIS AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392096256",
            "telephone_number": "601-354-3557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3502 W Northside Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392134454",
            "country_code": "US",
            "telephone_number": "601-362-5321",
            "fax_number": "601-364-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAIGE-BROWN",
        "first_name": "MELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "2743",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2743-93",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00660236",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Satyaseelan Packianathan, M.D.
• Fortunato Gabriel Padua, MD
• Kimberly N Paduda, MD
• Laura Beatriz Pagan
• Catherine Lindsay Page, FNP
• Pain Management Consultants PLLC
• Charles Christian Paine II, M.D.
• Elizabeth Rickman Paine, M.D.
• Hugo Palacios Vazquez, MD
• Palliative Care at Heart, LLC

• General Practice Dentistry in Jackson, MS
• Providers in Jackson, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.