DR. MELVIN DAVID PEDERSON JR. DDS
NPI 1619631413
Dentist - Orthodontics and Dentofacial Orthopedics in Aurora, CO

Active since October 27, 2021
15121 E MISSISSIPPI AVE, AURORA, CO 80012(303) 802-1022 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 29, 2023, Jan 27, 2022, Nov 16, 2021 (3 updates tracked since 2021).

About Dr. Melvin David Pederson Jr. Dds NPPES

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

DR. MELVIN DAVID PEDERSON JR. DDS (NPI 1619631413) is an individual orthodontics and dentofacial orthopedics provider in Aurora, Colorado, licensed in Colorado (DEN.00204856) and active in the NPI registry since October 2021. He maintains a secondary practice location in Hillsboro.

NPPES Registry Identity

NPI1619631413
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. MELVIN DAVID PEDERSON JR.Credential: DDS
Location Address15121 E MISSISSIPPI AVEAurora, CO 80012-3746
Mailing Address400 E Main St Ste 190Hillsboro, OR 97123-4163 · (810) 287-5361
Sole ProprietorNo
Enumeration DateOctober 27, 2021
Last NPPES UpdateAugust 29, 20233 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
NPI 1619631413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Licenses Licensed in CO · DEN.00204856 Licensed in OR · D11868
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentistTaxonomy 122300000X · License DEN.00204856 (CO)
15121 E MISSISSIPPI AVE, Aurora, CO 80012

Secondary Practice Location 1

Location 1400 E Main St Ste 190Hillsboro, OR 97123-4163 · Phone (503) 648-0859

Accepted Insurance

Other Providers at the Same Location NPPES 12

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

Optometrist
15121 E MISSISSIPPI AVE
AURORA, CO 80012
Optometrist
15121 E MISSISSIPPI AVE
AURORA, CO 80012
Dentist
15121 E MISSISSIPPI AVE
AURORA, CO 80012
Optometrist
15121 E MISSISSIPPI AVE
AURORA, CO 80012
Optometrist
15121 E MISSISSIPPI AVE
AURORA, CO 80012
Dentist
15121 E MISSISSIPPI AVE
AURORA, CO 80012
Optometrist
15121 E MISSISSIPPI AVE
AURORA, CO 80012
Dentist (Orthodontics and Dentofacial Orthopedics)
15121 E MISSISSIPPI AVE
AURORA, CO 80012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melvin Pederson's NPI number?

The NPI number for Melvin Pederson is 1619631413. It was assigned to this individual provider in the NPPES registry on October 27, 2021.

Where is Melvin Pederson located?

Melvin Pederson practices at 15121 E Mississippi Ave, Aurora, CO 80012. The listed phone number is (303) 802-1022.

What is Melvin Pederson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Melvin Pederson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Melvin Pederson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melvin Pederson was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.