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DR. RICHARD WAYNE MELLIN MD DDS
NPI 1902965635
Oral & Maxillofacial Surgery in Greeley, CO

Active since December 08, 2006Opted out of Medicare · through Apr 5, 2028
3400 W 16TH ST STE 1A, GREELEY, CO 90634(970) 353-5826(970) 353-5829 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Richard Wayne Mellin Md Dds NPPES

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

DR. RICHARD WAYNE MELLIN MD DDS (NPI 1902965635) is an individual oral & maxillofacial surgery provider in Greeley, Colorado, licensed in Colorado (MEDICAL 37605) and active in the NPI registry since December 2006. He has opted out of Medicare through April 5, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1902965635
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. RICHARD WAYNE MELLINCredential: MD DDS
Location Address3400 W 16TH ST STE 1AGreeley, CO 90634-6854
Mailing Address3400 W 16th St, Ste 1aGreeley, CO 80634-6862 · (970) 353-5826 · Fax (970) 353-5829
Phone(970) 353-5826
Fax(970) 353-5829
Sole ProprietorNo
Enumeration DateDecember 8, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1902965635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in CO · MEDICAL 37605
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License DENTAL 7167 (CO)

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Richard Wayne Mellin Md Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 5, 2016 through April 5, 2028.

Opt-Out Effective DateApril 5, 2016
Opt-Out In Effect ThroughApril 5, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Richard Mellin's NPI number?

The NPI number for Richard Mellin is 1902965635. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Richard Mellin located?

Richard Mellin practices at 3400 W 16th St Ste 1A, Greeley, CO 90634. The listed phone number is (970) 353-5826.

What is Richard Mellin's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Richard Mellin enrolled in Medicare?

No. Richard Mellin has opted out of Medicare through April 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Richard Mellin was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.