Melissa Daria Moccia-Patton, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901019611 Issued in MI

Practice address

3733 S Telegraph Rd
Dearborn, MI 48124-3286

Phone

(313) 563-1860

NPI assigned

Jun 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Newman Family Dental Center

  • Dental Clinic/Center
  • Dearborn, MI
  • NPI 1912953779
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669674842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 S TELEGRAPH RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243286",
            "telephone_number": "313-563-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 S TELEGRAPH RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243286",
            "telephone_number": "313-563-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCCIA-PATTON",
        "first_name": "MELISSA",
        "middle_name": "DARIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MML Consulting Management LLC
• Wisam Nabeel Mnkana
• Mobicare
• Mobile Eye Care, LLC (Seen Vision Care)
• Mobile Physician Group, PLLC
• Romulo M Mocorro Jr., CRNA
• Modern American Dental Clinic P. C.
• Modern American Dental Clinic PC
• Modern Physical Therapy & Rehab, Inc.
• Modern Psychiatry PC

• General Practice Dentistry in Dearborn, MI
• Providers in Dearborn, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.