Melissa Amaral
Individual provider Active NPI General Practice Dentistry · Reno, NV
NPI 1831254622 · NPPES record last updated Apr 11, 2011
Key facts
- NPI
- 1831254622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4628 (NV)
- Practice address
- 1101 West Moana Lane
Ste 4
Reno, NV 89509-4795 - Phone
- (775) 825-9353
- Fax
- (775) 825-9397
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160413002317 | NV | Order and Referring Only - Dentist |
3870891500 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4628 | NV | Yes |
Addresses
Primary practice location
1101 West Moana Lane
Ste 4
Reno, NV 89509-4795
Mailing address
6580 South McCarran Blvd
Ste B
Reno, NV 89509-6140
Phone (775) 825-9353
Other providers in Reno, NV
- Gift Chidi Amadi
- Amanda L. Casey, Ms, CCC-SLP, LLC
- Amanda Serrao Nurse Practitioner PLLC
- Amanjit Dhatt, MD, LLC
- Lenore Alba Amante
- Regina R Amaral
- Eduardo Amaya
- Ambassadore Health Care-Reno, Inc.
- Ambassadore Hospice of Reno, LLC.
- Ambercreek Counseling & Recovery Services
All providers in Reno, NV · General Practice Dentistry in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.