Individual provider Active NPI

Melva Dixon

  • Durable Medical Equipment & Medical Supplies
  • Waldorf, MD
National Provider Identifier
1831957398
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
2782 Old Washington Rd
Glamor Girl Building Suite B
Waldorf, MD 20601-3176
Phone
(301) 583-6535
NPI assigned
Mar 11, 2024
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Prosthetic/Orthotic Supplier 335E00000X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Prosthetics Case Management 1744P3200X MD
Community Health Worker 172V00000X NU

Addresses

Primary practice location

2782 Old Washington Rd
Glamor Girl Building Suite B
Waldorf, MD 20601-3176

Mailing address

6118 Sea Lion PL
Waldorf, MD 20603-4448
Phone (301) 583-6535

Other practice location 1

4500 Crain Hwy Ste 102
White Plains, MD 20695-3015
Phone (301) 583-6535

Other practice location 2

9560 Marlboro Pike Ste 204
Upper Marlboro, MD 20772-3769
Phone (301) 583-6535

Other practice location 3

3100 Ritchie Rd Ste D
District Heights, MD 20747-4400
Phone (301) 583-6535

Other identifiers 1

IdentifierTypeStateIssuer
1316413636MedicaidMD

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

Practice roles

OrganizationSpecialtyStatusNew patients
Venus Salon Suites LLC Prosthetics Case Management PastSince Mar 12, 2024 Accepting new patients
Venus Salon Suites LLC Prosthetics Case Management Past Accepting new patients

Organizations & group practices 3

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": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1831957398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6118 SEA LION PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034448",
            "telephone_number": "301-583-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2782 OLD WASHINGTON RD",
            "address_2": "GLAMOR GIRL BUILDING SUITE B",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013176",
            "telephone_number": "301-583-6535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Crain Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "MD",
            "postal_code": "206953015",
            "country_code": "US",
            "telephone_number": "301-583-6535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9560 Marlboro Pike Ste 204",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "207723769",
            "country_code": "US",
            "telephone_number": "301-583-6535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Ritchie Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "District Heights",
            "state": "MD",
            "postal_code": "207474400",
            "country_code": "US",
            "telephone_number": "301-583-6535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MELVA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316413636",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.