Individual provider Active NPI

Melanie Hammerbeck, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Green Bay, WI
National Provider Identifier
1831691872
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
1001720-15 Issued in WI
Practice address
1756 Cardinal LN
Green Bay, WI 54313
Phone
(920) 884-2808
NPI assigned
Mar 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1001720-15 WI
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 1001720-15 WI Primary

Addresses

Primary practice location

1756 Cardinal LN
Green Bay, WI 54313

Mailing address

1756 Cardinal LN
Green Bay, WI 54313-7121
Phone (920) 884-2808

Other practice location 1

519 East Broadway Street
Waukeshea, WI 53186
Phone (262) 549-6850

Other practice location 2

2000 Shady Ln
Green Bay, WI 54313-9311
Phone (920) 499-3721

Other names 1

  • Dr. Melanie Hoffman Former name

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
1001720-15WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Engage Orthodontics-Hanson SC Orthodontics and Dentofacial Orthopedics CurrentSince May 16, 2021 Accepting new patients
Charles E. Montoure, DDS, Ms Mark H Hanson, DDS, Ms, SC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Locations

1756 Cardinal Ln
Green Bay, WI 54313
Phone (920) 884-2808

2000 Shady Ln
Green Bay, WI 54313
Phone (920) 499-3721

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1831691872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 CARDINAL LN",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543137121",
            "telephone_number": "920-884-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 CARDINAL LN",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54313",
            "telephone_number": "920-884-2808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519 East Broadway Street",
            "address_purpose": "LOCATION",
            "city": "Waukeshea",
            "state": "WI",
            "postal_code": "53186",
            "country_code": "US",
            "telephone_number": "262-549-6850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Shady Ln",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543139311",
            "country_code": "US",
            "telephone_number": "920-499-3721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMERBECK",
        "first_name": "MELANIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001720-15",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "1001720-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "HOFFMAN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.