Organization Active NPI

Edward P. Melmed, M.D. P.a

  • Plastic Surgery Physician
  • Dallas, TX
National Provider Identifier
1912227752
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
EDWARD P. MELMED, M.D. P.A
Practice address
7777 Forest LN
A210
Dallas, TX 75230-2505
Phone
(972) 566-7755
Fax
(972) 566-7979
NPI assigned
Jun 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Dr. Edward Peter Melmed, M.D., P.A
Title
Owner
Phone
(972) 566-7755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

7777 Forest LN
A210
Dallas, TX 75230-2505

Mailing address

7777 Forest LN
A210
Dallas, TX 75230-2505
Phone (972) 566-7755

Other identifiers 1

IdentifierTypeStateIssuer
P00634OtherTXMEDICARE PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

7777 Forest Ln
Ste A210
Dallas, TX 75230
Phone (214) 661-7755

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1912227752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "A210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-7755",
            "fax_number": "972-566-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "A210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-7755",
            "fax_number": "972-566-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD P. MELMED, M.D. P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "MELMED",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-566-7755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "P00634",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.