Melissa K. Crochet, MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

K4400 Issued in TX

Legal business name

MELISSA K. CROCHET, MD, PA

Practice address

411 N Washington Ave
Suite 2700
Dallas, TX 75246-1713

Phone

(214) 823-7900

Fax

(214) 239-4260

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mellisa Kay Crochet, MD

Title

Owner

Phone

(214) 823-7900

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1740291103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N WASHINGTON AVE",
            "address_2": "SUITE 2700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461713",
            "telephone_number": "214-823-7900",
            "fax_number": "214-239-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N WASHINGTON AVE",
            "address_2": "SUITE 2700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461713",
            "telephone_number": "214-823-7900",
            "fax_number": "214-239-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA K. CROCHET, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "CROCHET",
        "authorized_official_first_name": "MELLISA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-823-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K4400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0029PU",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169148701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Meleski, DC
• Emily Melikman
• Kelsey Rose Melinosky
• Melisa a Christian DDS, PA
• Melissa Dunlap DC PLLC
• Divya Mella, M.D
• Paula J Mella, LPC
• Stephen L Meller, MD
• Kendall Mello, CRNA
• Elizabeth Mellon, DPT

• Specialist in Dallas, TX
• Providers in Dallas, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.