Organization Active NPI

Brett B Melgosa DMD Inc

  • Dentist
  • Turlock, CA
National Provider Identifier
1871024182
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61429 Issued in CA
Legal business name
BRETT B MELGOSA DMD INC
Practice address
2060 Colorado Ave
Suite a
Turlock, CA 95382-2020
Phone
(209) 850-9229
NPI assigned
Mar 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Dr. Brett Breinig Melgosa, DMD
Title
Owner
Phone
(209) 850-9229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 61429 CA Primary

Addresses

Primary practice location

2060 Colorado Ave
Suite a
Turlock, CA 95382-2020

Mailing address

2060 Colorado Ave
Suite a
Turlock, CA 95382-2020

National Provider Directory

National Provider Directory
Tax ID family
Brett B Melgosa DMD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2060 Colorado Ave
Ste A
Turlock, CA 95382
Phone (209) 850-9229

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1871024182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 COLORADO AVE",
            "address_2": "SUITE A",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 COLORADO AVE",
            "address_2": "SUITE A",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822020",
            "telephone_number": "209-850-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT B MELGOSA DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "MELGOSA",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "BREINIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-850-9229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "61429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.