Active NPI
Melanie Ma
- General Practice Dentistry
- Revere, MA
National Provider Identifier
1932734704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN1859108
- Practice address
- 26 Central Ave
Revere, MA 02151-3020 - Phone
- (781) 284-5443
- NPI assigned
- Mar 11, 2020
- Last updated
- Jul 31, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN1859108 | MA | Primary |
Addresses
Primary practice location
26 Central Ave
Revere, MA 02151-3020
Mailing address
26 Central Ave
Revere, MA 02151-3020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1859108 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharon Chen, DMD, PC | General Practice | Past | Accepting new patients |
| JNL Dental One PC | General Practice | Past | Accepting new patients |
| Page Family Dental LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Merrimack Valley Dental Clinic
- General Practice Dentistry
- Framingham, MA
- NPI 1750817409
-
- General Practice Dentistry
- Framingham, MA
- NPI 1699864595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1932734704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 CENTRAL AVE",
"city": "REVERE",
"state": "MA",
"postal_code": "021513020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 CENTRAL AVE",
"city": "REVERE",
"state": "MA",
"postal_code": "021513020",
"telephone_number": "781-284-5443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MA",
"first_name": "MELANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-11",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN1859108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Revere, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.