Thomas S Melanson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15038 Issued in MD

Practice address

108 Mount Carmel Rd
Parkton, MD 21120-9723

Phone

(410) 329-2118

NPI assigned

Jun 29, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Thomas S Melanson DDS LLC

  • Dental Clinic/Center
  • Parkton, MD
  • NPI 1225854615
  NPD Authorized official

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436572800000",
    "number": "1851655302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MOUNT CARMEL RD",
            "city": "PARKTON",
            "state": "MD",
            "postal_code": "211209723",
            "telephone_number": "410-329-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MOUNT CARMEL RD",
            "city": "PARKTON",
            "state": "MD",
            "postal_code": "211209723",
            "telephone_number": "410-329-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELANSON",
        "first_name": "THOMAS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-29",
        "last_updated": "2015-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve F Kinsey, ATC
• Sarah Koehn, MS, LAT, ATC, EMT
• Arthur Sheldon Kovens, O.D.
• Timothy Lilley
• Morgan Alicia McCluskey Wirtz, PHARMD
• Phyllis Goodwin Merrill, IBCLC
• Mindful Motion Inc
• Mt Carmel Medical Inc (Mt Carmel Pharmacy)
• Margaret A Mylet, PTA
• Catherine Hall Myrowitz, MSW-LCSW-C

• General Practice Dentistry in Parkton, MD
• Providers in Parkton, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.