Dan Melo, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

016-0002103 Issued in VT

Practice address

30 Shelburne Shopping Park
Shelburne, VT 05482-7488

Phone

(802) 985-3500

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rutland Family Dental, PLC

  • Dental Clinic/Center
  • Rutland, VT
  • NPI 1013410331
  NPD Authorized official

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821034729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OLDE ORCHARD PARK",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036970",
            "telephone_number": "802-862-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SHELBURNE SHOPPING PARK",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827488",
            "telephone_number": "802-985-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELO",
        "first_name": "DAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016-0002103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010432",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Domenick Mazza, ND
• Laura McCormick, IBCLC
• Kyle McLean, NRP, CPT
• Jordan Angela McShane, AU.D.
• David Kirk Meier Jr., DPT
• Jane Melrose, L.AC
• Rebecca Meryman, DPT
• John H Meyer, ED.D.
• Teresa Canal Meyer, PH.D.
• Patricia Joan Mitchell, L.AC

• All providers in Shelburne, VT
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.