Individual provider Active NPI

Andrew Douglas Mefford, DMD

  • Dentist
  • Arlington, TN
National Provider Identifier
1023126653
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8358 Issued in TN
Practice address
5780 Airline Rd
Suite101
Arlington, TN 38002-4264
Phone
(901) 867-5657
Fax
(901) 867-5202
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8358 TN Primary

Addresses

Primary practice location

5780 Airline Rd
Suite101
Arlington, TN 38002-4264

Mailing address

2705 Appling Rd
Suite 101
Memphis, TN 38133-5082
Phone (901) 388-9110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8358TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
M. Wade Clayton, DDS, PA, Inc. Dentist Past Accepting new patients
Bellano Dental Wolf River, PLLC PastSince Nov 19, 2023 Accepting new patients

Networks

  • MS PPO C-SNP
  • MS PPO D-SNP

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023126653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 APPLING RD",
            "address_2": "SUITE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381335082",
            "telephone_number": "901-388-9110",
            "fax_number": "901-384-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5780 AIRLINE RD",
            "address_2": "SUITE101",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380024264",
            "telephone_number": "901-867-5657",
            "fax_number": "901-867-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEFFORD",
        "first_name": "ANDREW",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "8358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.