Active NPI
Melissa Mary Triplett, DDS
- General Practice Dentistry
- Fredericksburg, TX
National Provider Identifier
1770616450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19773
- Practice address
- 205 N Milam St
Fredericksburg, TX 78624-3820 - Phone
- (830) 990-2600
- Fax
- (830) 990-0010
- NPI assigned
- Mar 13, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19773 | TX | Primary |
Addresses
Primary practice location
205 N Milam St
Fredericksburg, TX 78624-3820
Mailing address
205 N Milam St
Fredericksburg, TX 78624-3820
Phone (830) 990-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1337905 | Other | TX | UNITED CONCORDIA |
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 |
|---|---|---|---|
| 19773 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Dentistry & Implants of Fredericksburg PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Fredericksburg, TX
- NPI 1275902553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770616450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 N MILAM ST",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786243820",
"telephone_number": "830-990-2600",
"fax_number": "830-990-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N MILAM ST",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786243820",
"telephone_number": "830-990-2600",
"fax_number": "830-990-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIPLETT",
"first_name": "MELISSA",
"middle_name": "MARY",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "19773",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1337905",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.