Melissa Marie Mertely, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12188 Issued in NC

Practice address

315 Airport Rd
Kinston, NC 28504-8209

Phone

(252) 522-1333

Fax

(252) 527-9321

NPI assigned

Jun 16, 2020

Last updated

Oct 9, 2023By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Melissa Mertely, PLLC

  dba Melissa Mertely

  • Dental Clinic/Center
  • Kinston, NC
  • NPI 1104584986
  NPD Authorized official

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1902421803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 AIRPORT RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285048209",
            "telephone_number": "252-522-1333",
            "fax_number": "252-522-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 AIRPORT RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285048209",
            "telephone_number": "252-522-1333",
            "fax_number": "252-527-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTELY",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medicaid Made Simple LLC
• Meeker and Associates, DDS, PA (Kinston Dental Care Center)
• Kenneth Aric Meeker, DDS
• Melissa Mertely, PLLC (Melissa Mertely)
• Caitlin Trexel Melvin
• Method Home Care, LLC
• Rendell Lee Michel
• Dennis Lloyd Michels, OD
• Milestones Alternative Family Living Inc.
• Alexis Victoria Millan

• General Practice Dentistry in Kinston, NC
• Providers in Kinston, NC by specialty
• General Practice Dentistry in North Carolina

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