Individual provider Active NPI

Carmen Dueno Melendez, DMD

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1679784417
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
010383 Issued in GA
Practice address
6600 Roswell Rd NE
Suite E
Atlanta, GA 30328-3173
Phone
(404) 255-2429
Fax
(404) 252-3617
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 010383 GA Primary

Addresses

Primary practice location

6600 Roswell Rd NE
Suite E
Atlanta, GA 30328-3173

Mailing address

6600 Roswell Rd NE
Suite E
Atlanta, GA 30328-3173
Phone (404) 255-2429

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

LicenseStateTypeSpecialty
010383GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679784417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 ROSWELL RD NE",
            "address_2": "SUITE E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283173",
            "telephone_number": "404-255-2429",
            "fax_number": "404-252-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 ROSWELL RD NE",
            "address_2": "SUITE E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283173",
            "telephone_number": "404-255-2429",
            "fax_number": "404-252-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "CARMEN",
        "middle_name": "DUENO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "010383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.