DR. RICHARD WAYNE MELLIN (NPI# 1902965635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902965635 |
| Entity Type | Individual |
| Full Name | DR. RICHARD WAYNE MELLIN |
| Credential | MD DDS |
| Practice Address |
3400 W 16th St Ste 1a Greeley CO 90634-6854 |
| Mailing Address |
3400 W 16th St Ste 1a Greeley CO 80634-6862 |
| Practice Telephone | 9703535826 |
| Practice Fax Number | 9703535829 |
| Mailing Telephone | 9703535826 |
| Mailing Fax Number | 9703535829 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DENTAL 7167 | CO | Dental Providers |
| X | 204E00000X | Oral & Maxillofacial Surgery | MEDICAL 37605 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
3400 W 16TH ST STE 1A |
| City | GREELEY |
| State | CO |
| Zip Code | 90634-6854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689789 | Noco New Beginnings | Nurse Practitioner | 1019 39th Ave Ste J, Greeley, CO 80634-2501 | 2020-11-05 |
| 1811596406 | Richard Allen Enocksen II | Massage Therapist | 5551 29th St Unit 715, Greeley, CO 80634-8326 | 2020-10-23 |
| 1073111381 | Paladina Health, LLC | Family Medicine | 3400 W 16th St Ste Y, Greeley, CO 80634-6862 | 2020-10-09 |
| 1326655143 | Lanae Fuentes | Community Health Worker | 5601 18th St Unit 1, Greeley, CO 80634-2984 | 2020-09-25 |
| 1922615038 | Banner Sleep Centers Colorado LLC | Clinic/Center | 1801 16th St # C1b, Greeley, CO 80631-5154 | 2020-09-24 |
| 1073127239 | Greeley Memory Care LLC | Alzheimer Center (Dementia Center) | 7010 W 8th St, Greeley, CO 80634-1213 | 2020-09-04 |
| 1922611789 | Riki Carl D'amato | Psychologist | 7211 18th Street Rd, Greeley, CO 80634-9697 | 2020-08-30 |
| 1285247866 | Poudre Valley Medical Group, LLC | Physical Therapist | 6767 29th St Fl 1, Greeley, CO 80634-5474 | 2020-08-25 |
| 1710599659 | Myeyedr Optometry of Colorado PC | Optometrist | 3545 W 12th St Ste 101, Greeley, CO 80634-2545 | 2020-08-21 |
| 1891307211 | Andrea Yaverski | Counselor | 3400 W 16th St Bldg 2, Greeley, CO 80634-6862 | 2020-08-18 |
| Find all providers in GREELEY | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386266070 | Blue Sky Oms P.C. | Dentist | 1707 61st Ave Ste 102, Greeley, CO 80634-7997 | 2020-05-15 |
| 1427407063 | Eric Reimer | Dentist | 1831 65th Ave Ste 3, Greeley, CO 80634-8130 | 2016-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071189 | Oms Associates Colorado PC | Dentist | 755 Maleta Ln Ste A, Castle Rock, CO 80108-7610 | 2020-10-26 |
| 1346849866 | Oms Associates Colorado PC | Dentist | 1755 Telstar Dr Ste 210, Colorado Springs, CO 80920-1018 | 2020-10-26 |
| 1740889260 | Oms Associates Colorado PC | Dentist | 10219 Parkglenn Way Ste 201, Parker, CO 80138-3875 | 2020-10-26 |
| 1679121404 | James W Makowski Dds PC | Dentist | 1220 S Parker Rd Ste 104, Denver, CO 80231-2166 | 2019-08-26 |
| 1528553070 | Comfort Dental Oral Surgery Colorado Springs LLC | Dentist | 556 W. Hwy 105, Monument, CO 80132 | 2018-06-27 |
| 1689167280 | Cheyenne Mountain Oral Surgery PC | Dentist | 640 Southpointe Ct Ste 150, Colorado Springs, CO 80906-3884 | 2018-06-08 |
| 1932692589 | Glendale Oral Surgery PC | Dentist | 3955 E Exposition Ave Ste 520, Denver, CO 80209-5030 | 2018-06-08 |
| 1790292431 | Alix Greenman | Dentist | 6179 S Balsam Way Ste 100, Littleton, CO 80123-3092 | 2018-01-03 |
| 1467967307 | Boulder Oral Surgery | Dentist | 3450 Penrose Pl Ste 120, Boulder, CO 80301-1800 | 2017-12-13 |
| 1467964858 | David Andrew Benson, Dds, Pllc | Dentist | 6160 Tutt Blvd Ste 250, Colorado Springs, CO 80923-1500 | 2017-10-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.