Organization Active NPI

Simon Pogue Melcher, DDS, PLLC

  • Dentist
  • Raleigh, NC
National Provider Identifier
1831251164
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7635 Issued in NC
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.