Individual provider Active NPI

Amanda Bryant Melo, LIC.AC., DIPL.AC.

  • Acupuncturist
  • Dallas, TX
National Provider Identifier
1780838417
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC01026 Issued in TX
Practice address
5323 Spring Valley Rd
Suite #100
Dallas, TX 75254-2414
Phone
(972) 955-2444
Fax
(972) 980-2453
NPI assigned
Nov 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC01026 TX Primary

Addresses

Primary practice location

5323 Spring Valley Rd
Suite #100
Dallas, TX 75254-2414

Mailing address

PO Box 703761
Dallas, TX 75370-3761
Phone (972) 955-2444

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
AC01026TXMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243382400000",
    "number": "1780838417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 703761",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753703761",
            "telephone_number": "972-955-2444",
            "fax_number": "972-980-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 SPRING VALLEY RD",
            "address_2": "SUITE #100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752542414",
            "telephone_number": "972-955-2444",
            "fax_number": "972-980-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELO",
        "first_name": "AMANDA",
        "middle_name": "BRYANT",
        "credential": "LIC.AC.,  DIPL.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-07",
        "last_updated": "2009-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.