Melissa Ann Styles, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

63875 Issued in CA

Practice address

401 Kenilworth Dr
Suite 960
Petaluma, CA 94952-3400

Phone

(707) 789-9600

NPI assigned

Aug 13, 2014

Last updated

Aug 14, 2014By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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.

• Nosti and Gill Dental Corporatiom

  dba Petaluma Modern Dentistry Dental Group

  • General Practice Dentistry
  • Petaluma, CA
  • NPI 1205262664
  NPD (past)

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1932518164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1778 STONE CREEK DR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949547441",
            "telephone_number": "805-503-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 KENILWORTH DR",
            "address_2": "SUITE 960",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523400",
            "telephone_number": "707-789-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STYLES",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles C Stuart, BPHARM
• Paul Stuart V
• Zakiyyah Stubbs
• Hunter Stuhr
• Rhonda Styer Gerhard, MFT
• Erika Suazo
• Sarah Elaine Rozario Suerte
• Flor Hermosillo Sukkar, LCSW
• David L Sullivan Jr.
• Paige Sullivan

• Dentist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.