Active NPI
Allison Melancon, D.D.S.
- Dentist
- New Orleans, LA
National Provider Identifier
1992025829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6043
- Practice address
- 3502 South Carrollton Ave
Suite a
New Orleans, LA 70118 - Phone
- (504) 410-3051
- NPI assigned
- Jun 2, 2010
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6043 | LA | Primary |
Addresses
Primary practice location
3502 South Carrollton Ave
Suite a
New Orleans, LA 70118
Mailing address
3502 South Carrollton Ave
Suite a
New Orleans, LA 70118
Phone (504) 410-3051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- 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 |
|---|---|---|---|---|
| I20160520002077 | LA | Order and Referring Only - Dentist | 5799074399 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6043 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275436800000",
"number": "1992025829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3502 SOUTH CARROLLTON AVE",
"address_2": "SUITE A",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70118",
"telephone_number": "504-410-3051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3502 SOUTH CARROLLTON AVE",
"address_2": "SUITE A",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70118",
"telephone_number": "504-410-3051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELANCON",
"first_name": "ALLISON",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-02",
"last_updated": "2010-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "6043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.