Active NPI
Melissa Marie Trulson, DMD
- Dentist
- Maricopa, AZ
National Provider Identifier
1740638758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D009469
- Practice address
- 44481 W Honeycutt Rd
Suite 109
Maricopa, AZ 85139 - Phone
- (520) 413-5555
- NPI assigned
- May 31, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D009469 | AZ | Primary |
| Dentist | 122300000X | DN21836 | FL |
Addresses
Primary practice location
44481 W Honeycutt Rd
Suite 109
Maricopa, AZ 85139
Mailing address
4751 S Vista PL
Chandler, AZ 85248-5536
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D009469 | AZ | MD | Dentist |
| DN21836 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1740638758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4751 S VISTA PL",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852485536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44481 W HONEYCUTT RD",
"address_2": "SUITE 109",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "85139",
"telephone_number": "520-413-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRULSON",
"first_name": "MELISSA",
"middle_name": "MARIE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-31",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D009469",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN21836",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maricopa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.