Melvin Anderson, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

4853 Issued in LA

Practice address

2865 Ambassador Caffery Pkwy Ste 117
Lafayette, LA 70506

Phone

(337) 988-9399

NPI assigned

Jun 10, 2006

Last updated

Jun 19, 2018By the provider in NPPES

Sex

Male

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 LA

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

Practice roles

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.

• Omega Dentistry, Inc

  • Dentist
  • Lafayette, LA
  • NPI 1720013030
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1720029531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 AMBASSADOR CAFFERY PKWY STE 117",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705065943",
            "telephone_number": "337-988-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 AMBASSADOR CAFFERY PKWY STE 117",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70506",
            "telephone_number": "337-988-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MELVIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "4853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1848531",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anchored Hope Counseling and Consulting, LLC
• Brandie Hidalgo Anderson, RVS,RDCS,BA
• Chakeyta Anderson
• Jamila Anderson, NP
• John Frederick Anderson, MD
• Rebecca Firmin Anderson, NP
• Stacye Rochelle Anderson
• Tori E Anderson
• Amanda Andre, FNP
• Cassandra Andre

• Dentist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.