Active NPI
Melissa Renae Williams, DMD
- Dentist
- Deland, FL
National Provider Identifier
1760735005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN19983
- Practice address
- 1045 Williamsburg Rd
Deland, FL 32720-1449 - Phone
- (386) 490-8761
- NPI assigned
- Oct 24, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1001429-15 | WI | |
| Dentist | 122300000X | 10258 | NC | |
| Dentist | 122300000X | DN19983 | FL | Primary |
Addresses
Primary practice location
1045 Williamsburg Rd
Deland, FL 32720-1449
Mailing address
1045 Williamsburg Rd
Deland, FL 32720-1449
Phone (386) 490-8761
Other names 1
- Dr. Melissa Renae Sterling
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170822002659 | FL | Order and Referring Only - Dentist | 8820386881 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN19983 | FL | MD | Dentist |
| 10258 | NC | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1760735005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 WILLIAMSBURG RD",
"city": "DELAND",
"state": "FL",
"postal_code": "327201449",
"telephone_number": "386-490-8761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 WILLIAMSBURG RD",
"city": "DELAND",
"state": "FL",
"postal_code": "327201449",
"telephone_number": "386-490-8761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MELISSA",
"middle_name": "RENAE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "1001429-15",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "10258",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN19983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "STERLING",
"middle_name": "RENAE",
"prefix": "DR.",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.