Organization Active NPI

Avery and Meadows, DDS, PC

  • General Practice Dentistry
  • Memphis, TN
National Provider Identifier
1053449637
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS3393 Issued in TN
Legal business name
AVERY AND MEADOWS, DDS, PC
Practice address
3491 Walnut Grove Rd
Memphis, TN 38111-4620
Phone
(901) 452-0040
Fax
(901) 452-0256
NPI assigned
Mar 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Wendy T. Russell
Title
Insurance Coordinator
Phone
(901) 452-0040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS3393 TN Primary

Addresses

Primary practice location

3491 Walnut Grove Rd
Memphis, TN 38111-4620

Mailing address

3491 Walnut Grove Rd
Memphis, TN 38111-4620
Phone (901) 452-0040

National Provider Directory

National Provider Directory
Tax ID family
Avery and Meadows DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053449637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3491 WALNUT GROVE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114620",
            "telephone_number": "901-452-0040",
            "fax_number": "901-452-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3491 WALNUT GROVE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114620",
            "telephone_number": "901-452-0040",
            "fax_number": "901-452-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERY AND MEADOWS, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "901-452-0040",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS3393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.