NPIMap

Organization Active NPI

Melinda Dandridge DO PLLC

  • Clinic/Center
  • Jenks, OK
National Provider Identifier
1700040649
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3942 Issued in OK
Legal business name
MELINDA DANDRIDGE DO PLLC
Practice address
410 E Main St
Jenks, OK 74037-4135
Phone
(918) 298-5438
NPI assigned
Jul 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Authorized official

Name
Dr. Melinda Dandridge, DONPI 1710983952
Title
Pediatricican
Phone
(918) 298-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 3942 OK Primary

Addresses

Primary practice location

410 E Main St
Jenks, OK 74037-4135

Mailing address

410 E Main St
Jenks, OK 74037-4135
Phone (918) 298-5438

Other identifiers 1

IdentifierTypeStateIssuer
200037860BMedicaidOK

National Provider Directory

National Provider Directory

Locations

410 E Main St
Jenks, OK 74037
Phone (918) 298-5437

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1700040649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E MAIN ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740374135",
            "telephone_number": "918-298-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E MAIN ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740374135",
            "telephone_number": "918-298-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELINDA DANDRIDGE DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "DANDRIDGE",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "PEDIATRICICAN",
        "authorized_official_telephone_number": "918-298-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "3942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200037860B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenks, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.