Individual provider Active NPI

Xiaoxian Meng, DMD

  • Dentist
  • Philadelphia, PA
National Provider Identifier
1013247162
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS037653 Issued in PA
Practice address
3401 Market St
Suite 110
Philadelphia, PA 19104-6228
Phone
(215) 573-8400
NPI assigned
Jan 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02422500 NJ
Dentist 122300000X DS037653 PA Primary

Addresses

Primary practice location

3401 Market St
Suite 110
Philadelphia, PA 19104-6228

Mailing address

3401 Market St
Suite 110
Philadelphia, PA 19104-6228
Phone (215) 573-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160706000980 IL Order and Referring Only - DentistPractitioner - Dentist 4486946837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02422500NJMDDentist
DS037653PAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1013247162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 MARKET ST",
            "address_2": "SUITE 110",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191046228",
            "telephone_number": "215-573-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 MARKET ST",
            "address_2": "SUITE 110",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191046228",
            "telephone_number": "215-573-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENG",
        "first_name": "XIAOXIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02422500",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.