Active NPI
Debra Jay Meacham, D.D.S.
- Dentist
- Mt Pleasant, MI
National Provider Identifier
1093000499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14604
- Practice address
- 2591 S Leaton Rd
Mt Pleasant, MI 48858-8421 - Phone
- (989) 775-4600
- Fax
- (989) 775-4680
- NPI assigned
- Jun 14, 2011
- Last updated
- Jun 27, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 39447 | CA | |
| Dentist | 122300000X | 14604 | MI | Primary |
Addresses
Primary practice location
2591 S Leaton Rd
Mt Pleasant, MI 48858-8421
Mailing address
2591 S Leaton Road
Mt Pleasant, MI 48858
Phone (989) 775-4600
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 |
|---|---|---|---|
| 14604 | MI | MD | Dentist |
| 39447 | CA | MD | Dental Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372291200000",
"number": "1093000499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2591 S LEATON ROAD",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "48858",
"telephone_number": "989-775-4600",
"fax_number": "989-775-4680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2591 S LEATON RD",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488588421",
"telephone_number": "989-775-4600",
"fax_number": "989-775-4680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEACHAM",
"first_name": "DEBRA",
"middle_name": "JAY",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-14",
"last_updated": "2013-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "39447",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "14604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, MI
- McLaren Health Management Group (McLaren CareNow)
- Lindy McLean
- Dawn Marie McMillan
- Corie Lynn McNally, PSY.D
- Rachel McWethy, PHARMD
- Madisyn Mead
- Meaningful Change: Clinical & Consultation Psychology, PLLC
- Medical Arts Pediatrics, PLC
- Medical Rehabilitation Physicians PLC (Michigan Spine and Pain)
- Medical Rehabilitation Physicians PLC (Michigan Spine and Pain)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.