Jessica Marie Mellon

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

60175232 Issued in WA

Practice address

4970 Auto Center Way
Bremerton, WA 98312-3328

Phone

(206) 745-3808

NPI assigned

Jun 7, 2024

Last updated

Jun 7, 2024By 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

Other names 1

• Jessica Marie Bequette Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Sarah Luetke, PLLC

  dba Sound Dental Care

  • Dentist
  • Poulsbo, WA
  • NPI 1285001065

  Dental Hygienist

  NPD (past)

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1912749375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46",
            "city": "KEYPORT",
            "state": "WA",
            "postal_code": "983450046",
            "telephone_number": "206-745-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4970 AUTO CENTER WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983123328",
            "telephone_number": "206-745-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLON",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "60175232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BEQUETTE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• George Henry Meier, MD
• Jennifer Meier
• Corey Meigs, CO 60881342
• Anna Elise Mejia
• Samantha Mellendorf
• Steven Mendoza, PSYD
• Ryan Landon Menges, PA-C
• Maaike Lynn Mensonides
• Jose Mercado-Garcia, PA
• David Whitney Mercereau

• Dental Hygienist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Dental Hygienist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.