Active NPI
Simon Pogue Melcher, DDS, PLLC
- Dentist
- Raleigh, NC
National Provider Identifier
1831251164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7635
- Legal business name
- SIMON POGUE MELCHER, DDS, PLLC
- Practice address
- 3340 Six Forks Rd
Raleigh, NC 27609-7233 - Phone
- (919) 782-0548
- Fax
- (919) 782-3944
- NPI assigned
- Dec 14, 2006
- Last updated
- Nov 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Simon P Melcher, DDS
- Title
- President
- Phone
- (919) 782-0548
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5535 | NC | |
| Dentist | 122300000X | 5540 | NC | |
| Dentist | 122300000X | 7635 | NC | Primary |
| Dentist | 122300000X | 7646 | NC |
Addresses
Primary practice location
3340 Six Forks Rd
Raleigh, NC 27609-7233
Mailing address
3340 Six Forks Rd
Raleigh, NC 27609-7233
Phone (919) 782-0548
Other names 1
- Implant and General Dentistry
National Provider Directory
National Provider DirectoryLocations
3340 Six Forks Rd
Raleigh, NC 27609
Phone (919) 782-0548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227225600000",
"number": "1831251164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 SIX FORKS RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097233",
"telephone_number": "919-782-0548",
"fax_number": "919-782-3944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340 SIX FORKS RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097233",
"telephone_number": "919-782-0548",
"fax_number": "919-782-3944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMON POGUE MELCHER, DDS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2008-11-21",
"status": "A",
"authorized_official_last_name": "MELCHER",
"authorized_official_first_name": "SIMON",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-782-0548",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "5535",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "5540",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "7635",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "7646",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Implant and General Dentistry",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.