Melinda Rae Moran, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

RDH3961 Issued in ME

Practice address

1 Cumberland Place
Suite 116
Bangor, ME 04401

Phone

(207) 974-3018

Fax

(207) 974-3067

NPI assigned

Nov 9, 2023

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

• Miss Melinda Rae Jipson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: melinda.moran.p1@direct.hhcme.nextgenshare.com

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1972377091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CUMBERLAND PLACE",
            "address_2": "SUITE 116",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-794-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CUMBERLAND PLACE",
            "address_2": "SUITE 116",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-974-3018",
            "fax_number": "207-974-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "MELINDA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "ME",
            "license": "RDH3961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "JIPSON",
            "middle_name": "RAE",
            "prefix": "MISS",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marsha A. Moore
• Mary D Moore, LCSW
• Mary R Moore, CRNA
• Nicole K Moore, PAC
• Robert Danny Moore, DDS, MD
• Renee Marie Moran, P.T.
• Kathryn Marie Mordino, ANP-BC
• More Than Therapy LLC
• Michael Moreau, PA
• Sarah Moreau, CFNP

• All providers in Bangor, ME
• Dental Hygienist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.