Active NPI
Melanie Nicole Spain, RDH, BSHCA
- Dental Hygienist
- Sultan, WA
National Provider Identifier
1831970748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- Practice address
- 10205 333Rd Ave SE
Sultan, WA 98294-8608 - Phone
- (425) 343-5197
- NPI assigned
- Oct 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | WA | Primary |
Addresses
Primary practice location
10205 333Rd Ave SE
Sultan, WA 98294-8608
Mailing address
PO Box 51
4 4TH St
Sultan, WA 98294
Phone (425) 343-5197
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1831970748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51",
"address_2": "4 4TH ST",
"city": "SULTAN",
"state": "WA",
"postal_code": "98294",
"telephone_number": "425-343-5197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10205 333RD AVE SE",
"city": "SULTAN",
"state": "WA",
"postal_code": "982948608",
"telephone_number": "425-343-5197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAIN",
"first_name": "MELANIE",
"middle_name": "NICOLE",
"credential": "RDH, BSHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-09",
"last_updated": "2023-10-09",
"certification_date": "2023-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sultan, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.