Active NPI
Frederick Jarden Meadows, D.D.S.
- Dentist
- Roswell, GA
National Provider Identifier
1043378664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN008369
- Practice address
- 1178 Grimes Bridge Rd
Ste 100
Roswell, GA 30075-3935 - Phone
- (770) 992-7550
- Fax
- (770) 992-7868
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN008369 | GA | Primary |
Addresses
Primary practice location
1178 Grimes Bridge Rd
Ste 100
Roswell, GA 30075-3935
Mailing address
1178 Grimes Bridge Rd
Ste 100
Roswell, GA 30075-3935
Phone (770) 992-7550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 958611 | Other | UNITED CONCORDIA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN008369 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smith & Rockefeller, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Roswell, GA
- NPI 1093873739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043378664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1178 GRIMES BRIDGE RD",
"address_2": "STE 100",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300753935",
"telephone_number": "770-992-7550",
"fax_number": "770-992-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1178 GRIMES BRIDGE RD",
"address_2": "STE 100",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300753935",
"telephone_number": "770-992-7550",
"fax_number": "770-992-7868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADOWS",
"first_name": "FREDERICK",
"middle_name": "JARDEN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN008369",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "958611",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
- Loreta Lukas McPartland, M.A., CCC-SLP
- Samantha Sue McSherry, MA, CCC/SLP
- Nena McSween, MSSLPCCC
- Elizabeth McVeety, RBT
- Julia Ann McVicker, MS, OTR/L
- Kendaly Meadows, N.P.
- Meaningful Solutions Counseling & Consulting
- Ashley Meccia, MS, RDN, LDN, CDE
- Russell Meccia, D.C.
- Medical Centers of Atlanta LLC
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.