Pete N Mellas DMD Ms PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

PETE N MELLAS DMD MS PLLC

Practice address

4910 E Greenway Rd Ste 2
Scottsdale, AZ 85254-1653

Phone

(602) 404-4458

NPI assigned

Dec 11, 2018

Last updated

Dec 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pete Nicholas Mellas, DMDNPI 1316947963

Title

Owner

Phone

(602) 404-4458

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pete Nicholas Mellas, DMD, MS

  • Periodontics
  • Scottsdale, AZ
  • NPI 1316947963
  NPD (past) Authorized official
• Brian Steven Goldfarb, DMD, MSD

  • Periodontics
  • Scottsdale, AZ
  • NPI 1457903387
  NPD (past)

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1962973347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 E GREENWAY RD STE 2",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541653",
            "telephone_number": "602-404-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 E GREENWAY RD STE 2",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541653",
            "telephone_number": "602-404-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETE N MELLAS DMD MS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "MELLAS",
        "authorized_official_first_name": "PETE",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-404-4458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1316947963",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Personalized Mobile Physical Therapy LLC
• Patress Ann Persons, MD
• Nichole Maria Peru, MA, BCBA, LBA
• Chelsey Pestello, CRNA
• Kristin E Petcher, PA
• Anthony John Petelin, M.D.
• Paul M Petelin Sr., MD
• Paul M Petelin Jr., MD
• Peter J. Ferrara M.D. P.C.
• Christine Peters

• Periodontics in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Periodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.