Melstrom Family Functional Wellness

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Legal business name

MELSTROM FAMILY FUNCTIONAL WELLNESS

Practice address

2247 S Benton
Mesa, AZ 85209-1583

Phone

(928) 303-2508

NPI assigned

Dec 2, 2025

Organization subpart

No

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

Authorized official

Name

Ryne MelstromNPI 1346102845

Title

Member

Phone

(928) 303-2508

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryne Melstrom, RDH

  • Dental Hygienist
  • Mesa, AZ
  • NPI 1346102845
  NPD Authorized official

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1669334165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 S BENTON",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852091583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 S BENTON",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852091583",
            "telephone_number": "928-303-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELSTROM FAMILY FUNCTIONAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "MELSTROM",
        "authorized_official_first_name": "RYNE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "928-303-2508"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Melland, RBT
• Kassondra Mellen, PHYSICIAN ASSISTANT
• David Scott Mellish, P.T.
• Amanda Mellor
• Jacqueline Mellyn, RPH
• Ryne Melstrom, RDH
• Andrea Leigh Melton
• Judith Ann Melton, CPM, LM
• Mia Love Melton, PHARMD
• Lillian Melzer

• Dental Hygienist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Dental Hygienist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.