Active NPI
Kristi Sue Melcher, D.D.S.
- General Practice Dentistry
- Atwood, KS
National Provider Identifier
1689988487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7066
- Practice address
- 707 Grant St
Ste 1
Atwood, KS 67730-1526 - Phone
- (785) 626-8290
- NPI assigned
- Aug 4, 2010
- Last updated
- Nov 3, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 60729 | KS | |
| General Practice Dentistry | 1223G0001X | 7066 | NE | Primary |
Addresses
Primary practice location
707 Grant St
Ste 1
Atwood, KS 67730-1526
Mailing address
10732 Virginia Plaza
La Vista, NE 68128
Phone (402) 991-7980
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 |
|---|---|---|---|
| 60729 | KS | MD | General Practice Dentistry |
| 7066 | NE | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rawlins County Dental Clinic Fund | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Rawlins County Dental Clinic
- Dental Clinic/Center
- Atwood, KS
- NPI 1740423003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1689988487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10732 VIRGINIA PLAZA",
"city": "LA VISTA",
"state": "NE",
"postal_code": "68128",
"telephone_number": "402-991-7980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 GRANT ST",
"address_2": "STE 1",
"city": "ATWOOD",
"state": "KS",
"postal_code": "677301526",
"telephone_number": "785-626-8290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELCHER",
"first_name": "KRISTI",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-04",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "60729",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "7066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atwood, KS
- April J Green, D.C.
- James Edward Hampton
- Kyle Frank Herspring, PA-C
- Somchet Keophaymany, COTA/L
- Kimberly Lankas, SPEECH/LANGUAGE PATH
- Selina Morales, COTA
- Morrison Optometric Associates, PA (Vision Source of Atwood)
- Shayla Jean Orten, LMSW
- Debra Pochop, CPTA
- Rawlins County Dental Clinic Fund (Rawlins County Dental Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.