Active NPI
Melissa D Primus, DDS
- General Practice Dentistry
- Bakersfield, CA
National Provider Identifier
1972606523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 44434
- Practice address
- 5509 Young St
Cal Dept Corrections & Rehab Dchcs Regioniii Dental
Bakersfield, CA 93311-9648 - Phone
- (916) 708-6306
- Fax
- (661) 664-2563
- NPI assigned
- Sep 7, 2006
- 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 | 44434 | CA | Primary |
Addresses
Primary practice location
5509 Young St
Cal Dept Corrections & Rehab Dchcs Regioniii Dental
Bakersfield, CA 93311-9648
Mailing address
9905 Lightner Way
Bakersfield, CA 93311
Phone (661) 631-9863
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 |
|---|---|---|---|
| 44434 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268611200000",
"number": "1972606523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9905 LIGHTNER WAY",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "93311",
"telephone_number": "661-631-9863",
"fax_number": "661-663-8345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5509 YOUNG ST",
"address_2": "CAL DEPT CORRECTIONS & REHAB DCHCS REGIONIII DENTAL",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933119648",
"telephone_number": "916-708-6306",
"fax_number": "661-664-2563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIMUS",
"first_name": "MELISSA",
"middle_name": "D",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2010-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "44434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.