NPIMap

Organization Active NPI

Mele Family Dentistry PC

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1992303945
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MELE FAMILY DENTISTRY PC
Practice address
40 W Evergreen Ave Ste 111
Philadelphia, PA 19118-3324
Phone
(215) 242-9411
Fax
(215) 242-3454
NPI assigned
Oct 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Corey Mele, DMDNPI 1942788146
Title
President
Phone
(215) 520-5051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X

Addresses

Primary practice location

40 W Evergreen Ave Ste 111
Philadelphia, PA 19118-3324

Mailing address

40 W Evergreen Ave Ste 111
Philadelphia, PA 19118-3324
Phone (215) 242-9411

National Provider Directory

National Provider Directory

Locations

40 W Evergreen Ave
Ste 111
Philadelphia, PA 19118
Phone (215) 242-9411

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1992303945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W EVERGREEN AVE STE 111",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183324",
            "telephone_number": "215-242-9411",
            "fax_number": "215-242-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W EVERGREEN AVE STE 111",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183324",
            "telephone_number": "215-242-9411",
            "fax_number": "215-242-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELE FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "MELE",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-520-5051",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.