Individual provider Active NPI

Yvonne Melton, RDH

  • Dental Hygienist
  • Fort Bliss, TX
National Provider Identifier
1760832471
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
124Q00000X Issued in TX
Practice address
US Army Dental Activity BLDG 128 Chaffee Road
Attn: Dentac Headquareters
Ft Bliss, TX 79916
Phone
(915) 742-6001
Fax
(915) 742-7462
NPI assigned
Jun 14, 2016
Last updated
Jun 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 124Q00000X TX Primary

Addresses

Primary practice location

US Army Dental Activity BLDG 128 Chaffee Road
Attn: Dentac Headquareters
Ft Bliss, TX 79916

Mailing address

US Army Dental Activity BLDG 128 Chaffee Road
Attn: Dentac Headquareters
Ft Bliss, TX 79916
Phone (915) 742-6001

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

LicenseStateTypeSpecialty
124Q00000XTXMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1760832471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "US ARMY DENTAL ACTIVITY BLDG 128 CHAFFEE ROAD",
            "address_2": "ATTN: DENTAC HEADQUARETERS",
            "city": "FT BLISS",
            "state": "TX",
            "postal_code": "79916",
            "telephone_number": "915-742-6001",
            "fax_number": "915-742-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US ARMY DENTAL ACTIVITY BLDG 128 CHAFFEE ROAD",
            "address_2": "ATTN: DENTAC HEADQUARETERS",
            "city": "FT BLISS",
            "state": "TX",
            "postal_code": "79916",
            "telephone_number": "915-742-6001",
            "fax_number": "915-742-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTON",
        "first_name": "YVONNE",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TX",
            "license": "124Q00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bliss, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.