Melissa Sue Nix, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23964 Issued in TX

Practice address

903 East Lennon Drive
Suite 108
Emory, TX 75440-5229

Phone

(903) 474-6010

Fax

(903) 474-6011

NPI assigned

Sep 3, 2008

Last updated

Dec 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Healthy Sleep of East Texas PLLC

  • General Practice Dentistry
  • Emory, TX
  • NPI 1174175277
  NPD

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1740438738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 EAST LENNON DRIVE",
            "address_2": "SUITE 108",
            "city": "EMORY",
            "state": "TX",
            "postal_code": "754405229",
            "telephone_number": "903-474-6010",
            "fax_number": "903-474-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 EAST LENNON DRIVE",
            "address_2": "SUITE 108",
            "city": "EMORY",
            "state": "TX",
            "postal_code": "754405229",
            "telephone_number": "903-474-6010",
            "fax_number": "903-474-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIX",
        "first_name": "MELISSA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2023-12-28",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Lemarr
• Michael Sean Magill, F.N.P.
• Kathy Lynn McLelland, M.S., LPC
• Amanda Medelline
• Randall Lee Miller
• Mona Noorizadeh, PSYD
• Britni Oswalt, LAT, ATC
• Carley Overbey
• Potts Anesthesia, PLLC
• Kimberley C. Premo, M.S., LPC

• General Practice Dentistry in Emory, TX
• Providers in Emory, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.