Active NPI
Melanie Kay Jones-Wier, D.D.S.
- General Practice Dentistry
- McCook, NE
National Provider Identifier
1669486361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6314
- Practice address
- 912 W 12TH St
McCook, NE 69001-2925 - Phone
- (308) 345-1470
- Fax
- (308) 345-2253
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6314 | NE | Primary |
Addresses
Primary practice location
912 W 12TH St
McCook, NE 69001-2925
Mailing address
PO Box 21
912 West 12TH
McCook, NE 69001-0021
Phone (308) 345-1470
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 903878 | Other | KS | BLUE CROSS PROVIDER NUMBE |
| 07824 | Other | NE | BLUE CROSS PROVIDER NUMBE |
| 470-592-257-01 | Medicaid | NE |
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 |
|---|---|---|---|
| 6314 | NE | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bison Dental | General Practice | Past | Accepting new patients |
| County of Red Willow | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- McCook, NE
- NPI 1851305841
-
- Public Health or Welfare Agency
- MC Cook, NE
- NPI 1093754996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1669486361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21",
"address_2": "912 WEST 12TH",
"city": "MCCOOK",
"state": "NE",
"postal_code": "690010021",
"telephone_number": "308-345-1470",
"fax_number": "308-345-2253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 W 12TH ST",
"city": "MCCOOK",
"state": "NE",
"postal_code": "690012925",
"telephone_number": "308-345-1470",
"fax_number": "308-345-2253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES-WIER",
"first_name": "MELANIE",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "6314",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBE",
"identifier": "903878",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBE",
"identifier": "07824",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470-592-257-01",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in McCook, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.