NPIMap

Organization Active NPI

Stephen M Meacham PLLC

  • Dentist
  • Weatherford, OK
National Provider Identifier
1093942971
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5983 Issued in OK
Legal business name
STEPHEN M MEACHAM PLLC
Practice address
1204 E Main St
Suite F
Weatherford, OK 73096-5770
Phone
(580) 772-7747
Fax
(580) 772-7750
NPI assigned
Jun 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Dr. Stephen Mark Meacham, D.D.S.
Title
Sole Member
Phone
(580) 772-7747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5983 OK Primary

Addresses

Primary practice location

1204 E Main St
Suite F
Weatherford, OK 73096-5770

Mailing address

1204 E Main St
Suite F
Weatherford, OK 73096-5770
Phone (580) 772-7747

Other names 1

  • Downtown Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1093942971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 E MAIN ST",
            "address_2": "SUITE F",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730965770",
            "telephone_number": "580-772-7747",
            "fax_number": "580-772-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 E MAIN ST",
            "address_2": "SUITE F",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730965770",
            "telephone_number": "580-772-7747",
            "fax_number": "580-772-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M MEACHAM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "MEACHAM",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "580-772-7747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "5983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weatherford, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.