Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. JOHANA LISSETTE MELENDEZ DDS
NPI 1447186242
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Q: What is Johana Melendez's NPI number?

The NPI number for Johana Melendez is 1447186242. It was assigned to this individual provider in the NPPES registry on June 19, 2026.

Q: What is Johana Melendez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Johana Melendez was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 19, 2026PECOS Enrolled

1500 E MEDICAL CENTER DR SPC 5831, ANN ARBOR, MI 48109(734) 936-5950(734) 232-5015 Get Directions Write a Review

NPPES record added: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Johana Lissette Melendez Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHANA LISSETTE MELENDEZ DDS (NPI 1447186242) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (2901602922) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447186242

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. JOHANA LISSETTE MELENDEZCredential: DDS

Location Address1500 E MEDICAL CENTER DR SPC 5831Ann Arbor, MI 48109-5000

Mailing Address1500 E Medical Center Dr Spc 5222Ann Arbor, MI 48109-5222 · (734) 232-6048

Phone(734) 936-5950

Fax(734) 232-5015

Sole ProprietorYes

Enumeration DateJune 19, 2026

NPPES CertifiedJune 1, 2026

✔ NPI 1447186242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MI · 2901602922

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1500 E MEDICAL CENTER DR SPC 5831, Ann Arbor, MI 48109

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Johana Lissette Melendez Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOOR AL MANSI DMD

Dentist (General Practice)