Jamie Lee Meunier, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1001869-15 Issued in WI

Practice address

1509 19TH St
Two Rivers, WI 54241-2628

Phone

(920) 794-8947

NPI assigned

Jul 16, 2018

Last updated

Jul 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Two Rivers Dental LLC

  dba Two Rivers Family Dental

  • General Practice Dentistry
  • Two Rivers, WI
  • NPI 1952035321
  NPD Authorized official
• Lifetime Family Dentistry of Two Rivers

  • General Practice Dentistry
  • Two Rivers, WI
  • NPI 1972892214
  NPD (past)
• Univeristy Dental LLC

  • Dentist
  • Green Bay, WI
  • NPI 1538232202
  NPD (past)

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1023594744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 19TH ST",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542412628",
            "telephone_number": "920-794-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 19TH ST",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542412628",
            "telephone_number": "920-794-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEUNIER",
        "first_name": "JAMIE",
        "middle_name": "LEE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001869-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Matthews, RD
• Thomas R McCann, DO
• Jennifer L McDole, ACNP
• Cynthia Lynn McGraw, LPN
• Evan McGregor
• Philip M Micksch, NP
• Paul Mihalakakos, MD
• Mary Mikeal
• Ali A Mir, MD
• Moriah Mitchell

• Dentist in Two Rivers, WI
• Providers in Two Rivers, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.