Jessette S Melon

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27634 Issued in TX

Practice address

3600 FM 1488 Rd
Conroe, TX 77384-3817

Phone

(936) 271-5440

NPI assigned

Oct 12, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

State licenses

Practice roles

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.

• Borinquen Dental Corporation

  dba Clinica Dental Arecibo

  • Dental Clinic/Center
  • Arecibo, PR
  • NPI 1417580655
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1871682948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FM 1488 RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773843817",
            "telephone_number": "936-271-5440",
            "fax_number": "787-879-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FM 1488 RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773843817",
            "telephone_number": "936-271-5440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "167 Calle San Felipe",
            "address_purpose": "LOCATION",
            "city": "Arecibo",
            "state": "PR",
            "postal_code": "006124680",
            "country_code": "US",
            "telephone_number": "787-879-1769",
            "fax_number": "787-879-1769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "167 Calle San Felipe",
            "address_purpose": "LOCATION",
            "city": "Arecibo",
            "state": "PR",
            "postal_code": "006124680",
            "country_code": "US",
            "telephone_number": "787-879-1769",
            "fax_number": "787-879-1769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELON",
        "first_name": "JESSETTE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2129",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sayalee Mehta, DDS
• Eduardo A Mejia, DDS
• Lorena Sarai Mejorado
• Chelsea Melear
• Amy K Mellonig, AUDIOLOGIST
• Memorial Hermann Health System (Memorial Hermann Imaging Centers-Conroe Center RR)
• Memorial Hermann Health System (Memorial Hermann Imaging Centers-Conroe Center)
• Jeffrey P. Mendillo, LCSW
• Mending Peace and Purpose Mental Health Services PLLC
• Mending Peace and Purpose Mental Health Services PLLC

• General Practice Dentistry in Conroe, TX
• Providers in Conroe, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.