Active NPI
Ernest S. Melanson, DDS,Ms,PC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Worcester, MA
National Provider Identifier
1972656734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 10787
- Legal business name
- ERNEST S. MELANSON, DDS,MS,PC
- Practice address
- 10 Winthrop St
Worcester, MA 01604-4435 - Phone
- (508) 755-2207
- Fax
- (508) 755-2275
- NPI assigned
- Jan 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ernest S. Melanson, DDS, MS
- Title
- President
- Phone
- (508) 755-2207
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 10787 | MA | Primary |
Addresses
Primary practice location
10 Winthrop St
Worcester, MA 01604-4435
Mailing address
10 Winthrop St
Worcester, MA 01604-4435
Phone (508) 755-2207
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9733043 | Medicaid | MA | |
| V04647 | Other | MA | BLUE CROSS BLUE SHIELD |
| 0210161 | Medicaid | MA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972656734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WINTHROP ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016044435",
"telephone_number": "508-755-2207",
"fax_number": "508-755-2275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 WINTHROP ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016044435",
"telephone_number": "508-755-2207",
"fax_number": "508-755-2275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERNEST S. MELANSON, DDS,MS,PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MELANSON",
"authorized_official_first_name": "ERNEST",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-755-2207",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, MS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MA",
"license": "10787",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9733043",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "V04647",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0210161",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.