Melissa Kids Dental, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MELISSA KIDS DENTAL, PLLC

Practice address

1711 Cooper St
Melissa, TX 75454-9542

Phone

(469) 422-5437

Fax

(972) 378-6771

NPI assigned

Mar 8, 2012

Last updated

Mar 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rupande Patel, DDS, MS

Title

Owner

Phone

(469) 422-5437

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1841564820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6513 PRESTON RD",
            "address_2": "SUITE 500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242688",
            "telephone_number": "469-422-5437",
            "fax_number": "972-378-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 COOPER ST",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754549542",
            "telephone_number": "469-422-5437",
            "fax_number": "972-378-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA KIDS DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RUPANDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-422-5437",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285094301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Eye Associates
• Melissa Family Eye Care Inc
• Melissa Family Medicine PLLC
• Melissa Isd
• Melissa Isd
• Melissa Modern Dentistry, PC
• Melissa Tiny Teeth, PLLC (Texas Tiny Teeth - Melissa)
• Sarah Mertz, FNP
• Tyler Michael Michot, PT, DPT
• Mobility Sense PT, PLLC

• Pediatric Dentistry in Melissa, TX
• Providers in Melissa, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.