Individual provider Active NPI

Melinda Renee King, DDS

  • General Practice Dentistry
  • Tuscaloosa, AL
National Provider Identifier
1669523627
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
LNO5502 Issued in AL
Practice address
7402 Highway 69 S
Suite H
Tuscaloosa, AL 35405-1300
Phone
(205) 344-9220
Fax
(205) 344-9221
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X LNO5502 AL Primary

Addresses

Primary practice location

7402 Highway 69 S
Suite H
Tuscaloosa, AL 35405-1300

Mailing address

7402 Highway 69 S
Suite H
Tuscaloosa, AL 35405-1300
Phone (205) 344-9220

Other identifiers 1

IdentifierTypeStateIssuer
630500110MedicaidAL

Other names 1

  • Dr. Melinda Renee Rhodes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20161110001421 AL Order and Referring Only - DentistPractitioner - Dentist 6204115496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LNO5502ALMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1669523627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 HIGHWAY 69 S",
            "address_2": "SUITE H",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354051300",
            "telephone_number": "205-344-9220",
            "fax_number": "205-344-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 HIGHWAY 69 S",
            "address_2": "SUITE H",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354051300",
            "telephone_number": "205-344-9220",
            "fax_number": "205-344-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MELINDA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "LNO5502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630500110",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "RHODES",
            "middle_name": "RENEE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.