Pmelo'S Dental Group & Associates Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PMELO'S DENTAL GROUP & ASSOCIATES INC

Practice address

410 Barber LN
Milpitas, CA 95035-7914

Phone

(408) 526-9999

NPI assigned

Apr 26, 2024

Organization subpart

No

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

Authorized official

Name

Ponciano Melo Jr.

Title

Office Manager

Phone

(415) 418-9547

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1740036086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 BARBER LN",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950357914",
            "telephone_number": "408-526-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 BARBER LN",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950357914",
            "telephone_number": "408-526-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMELO'S DENTAL GROUP & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "MELO",
        "authorized_official_first_name": "PONCIANO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "415-418-9547",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Milpitas, CA
• Providers in Milpitas, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.