Melinda Ann Ross, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21572 Issued in OH

Practice address

3665 Stutz Dr
#2
Canfield, OH 44406-9144

Phone

(330) 702-8500

Fax

(330) 702-8249

NPI assigned

Aug 18, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1689788465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 STUTZ DR",
            "address_2": "#2",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069144",
            "telephone_number": "330-702-8500",
            "fax_number": "330-702-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 STUTZ DR",
            "address_2": "#2",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069144",
            "telephone_number": "330-702-8500",
            "fax_number": "330-702-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MELINDA",
        "middle_name": "ANN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2383826",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert D Lewis MD LLC
• Rachael Robertson, M.A. CCC-SLP
• Roholt Vision Institute Inc
• Jennifer Lynn Romeo, LSW
• Marybeth Filisky Romeo, PT
• Elisabeth Rothbauer
• Ashley M Rowe
• Terry J Rowland
• Roy N Morcos, MD, Inc.
• Jamel Roy

• General Practice Dentistry in Canfield, OH
• Providers in Canfield, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.