Individual provider Active NPI

Melanie Marie Albers, DDS

  • Dentist
  • Eagle, CO
National Provider Identifier
1659405116
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00202284 Issued in CO
Practice address
56 Market St, Suite 5
Eagle, CO 81631
Phone
(970) 328-1116
NPI assigned
Mar 15, 2007
Last updated
Jul 16, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6364 NE
Dentist 122300000X 2009025266 MO
Dentist 122300000X 00202284 CO Primary

Addresses

Primary practice location

56 Market St, Suite 5
Eagle, CO 81631

Mailing address

PO Box 576
Eagle, CO 81631-0576
Phone (970) 328-1116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191021001669 CO Order and Referring Only - DentistPractitioner - Dentist 1355673559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6364NEMDClinical Social Worker
00202284COMDDentist
2009025266MOMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1659405116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 576",
            "city": "EAGLE",
            "state": "CO",
            "postal_code": "816310576",
            "telephone_number": "970-328-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 MARKET ST, SUITE 5",
            "city": "EAGLE",
            "state": "CO",
            "postal_code": "81631",
            "telephone_number": "970-328-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERS",
        "first_name": "MELANIE",
        "middle_name": "MARIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "6364",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2009025266",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00202284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, CO

Sources for this page

Verify at the official NPI Registry.