Melissa Marie Ven Dange, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

104649 Issued in CA

Practice address

17041 Beach Blvd Ste 101
Huntington Beach, CA 92647-6097

Phone

(714) 594-5777

Fax

(714) 594-6511

NPI assigned

Jul 6, 2017

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Magic Fox Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Huntington Beach, CA
  • NPI 1053064691
  NPD Authorized official

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1902327448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10380 LA SOMBRA AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17041 BEACH BLVD STE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476097",
            "telephone_number": "714-594-5777",
            "fax_number": "714-594-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEN DANGE",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "104649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathian Velasquez
• Sydney London Velasquez
• Ivette Velazquez
• Laura E Velazquez
• Yesenia Velez
• Emily Venegas
• Mariela Ventura
• Desiree L Vera, RDN
• Sandra Vera
• Ulysses Vera

• Orthodontics and Dentofacial Orthopedics Dentistry in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.