Active NPI
Melany Louise Burkes, D.D.S.
- Dentist
- Dayton, TX
National Provider Identifier
1982711545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18075
- Practice address
- 111 Bryan St
Dayton, TX 77535-2661 - Phone
- (936) 258-3692
- Fax
- (936) 258-5690
- NPI assigned
- Aug 23, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 18075 | TX | Primary |
Addresses
Primary practice location
111 Bryan St
Dayton, TX 77535-2661
Mailing address
111 Bryan St
Dayton, TX 77535-2661
Phone (936) 258-3692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160217000349 | TX | Order and Referring Only - Dentist | 8123323995 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18075 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982711545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 BRYAN ST",
"city": "DAYTON",
"state": "TX",
"postal_code": "775352661",
"telephone_number": "936-258-3692",
"fax_number": "936-258-5690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 BRYAN ST",
"city": "DAYTON",
"state": "TX",
"postal_code": "775352661",
"telephone_number": "936-258-3692",
"fax_number": "936-258-5690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKES",
"first_name": "MELANY",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "18075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, TX
- Brighter Days Assisted Living
- Brighter Days Group LLC
- Kathe Anne Britt, RN
- Brookshire Brothers Inc (Brookshire Brothers Pharmacy)
- Richard Wayne Broussard
- Shannon Renee Campbell
- Cardiovascular Association, PLLC
- Florence Renee Carter
- Chambers County Public Hospital District No 1 (Chambers Health School Base Health Center Dayton)
- Chambers County Public Hospital District No. 1 (Chambers Health School Based Health Center Dayton)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.