Active NPI
Melanie Roseann Breidenthal, RDH BS
- Dental Hygienist
- Medford, OR
National Provider Identifier
1710041330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H3413
- Practice address
- 4505 Pinnacle Dr
Medford, OR 97504-9462 - Phone
- (541) 772-2593
- Fax
- (541) 772-2593
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H3413 | OR | Primary |
Addresses
Primary practice location
4505 Pinnacle Dr
Medford, OR 97504-9462
Mailing address
4505 Pinnacle Dr
Medford, OR 97504-9462
Phone (541) 772-2593
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H3413 | OR | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710041330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4505 PINNACLE DR",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975049462",
"telephone_number": "541-772-2593",
"fax_number": "541-772-2593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4505 PINNACLE DR",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975049462",
"telephone_number": "541-772-2593",
"fax_number": "541-772-2593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREIDENTHAL",
"first_name": "MELANIE",
"middle_name": "ROSEANN",
"name_prefix": "Mrs.",
"credential": "RDH BS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H3413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
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.