Melanie L Throne DDS PA

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MELANIE L THRONE DDS PA

Doing business as

Mira Vista Cosmetic Dentistry

Practice address

6417 Southwest Blvd
Fort Worth, TX 76132

Phone

(817) 735-4700

NPI assigned

Jun 9, 2020

Organization subpart

No

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

Authorized official

Name

Melanie Throne, DDSNPI 1639297260

Title

Owner

Phone

(817) 735-4700

Specialties & licenses 1

Addresses

Other names 1

• Mira Vista Cosmetic Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melanie La Kaye Throne, D.D.S.

  • General Practice Dentistry
  • Benbrook, TX
  • NPI 1639297260
  NPD Authorized official

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1861017584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 SOUTHWEST BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76132",
            "telephone_number": "817-735-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 SOUTHWEST BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76132",
            "telephone_number": "817-735-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE L THRONE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "THRONE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-735-4700",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mira Vista Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Meirick, PHARMD
• Shelby Meister, BCBA
• Mario Alberto Mejia, MD
• Shruthi Mekala
• Esayas Melaki
• Alejandra Melendez
• Jerrod Melendez, PTA
• Andrew Walter Melhart, DO
• Melior Counseling PLLC
• Billy Melot Jr., D.C.

• Customized Equipment (DME) in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.