Active NPI
George Joe Meadows Jr., DMD
- Pediatric Dentistry
- Bradenton, FL
National Provider Identifier
1104027929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 16394
- Practice address
- 9912 E State Road 64
Bradenton, FL 34212-5303 - Phone
- (941) 745-1143
- NPI assigned
- May 30, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 16394 | FL | Primary |
Addresses
Primary practice location
9912 E State Road 64
Bradenton, FL 34212-5303
Mailing address
14818 7TH Ave E
Bradenton, FL 34212-2902
Phone (941) 745-1143
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 |
|---|---|---|---|
| 16394 | FL | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadows Family Dentistry, LLC | Pediatric Dentistry | Past | Accepting new patients |
| Meadows Adult Dental Services Sr 64 LLC | Pediatric Dentistry | Past | Accepting new patients |
| Meadows Family Care Centers | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Dentist
- Bradenton, FL
- NPI 1134524424
-
- Pediatric Dentistry
- Bradenton, FL
- NPI 1841574845
-
- Pediatric Dentistry
- Bradenton, FL
- NPI 1992112353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303948800000",
"number": "1104027929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14818 7TH AVE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342122902",
"telephone_number": "941-745-1143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9912 E STATE ROAD 64",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342125303",
"telephone_number": "941-745-1143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADOWS",
"first_name": "GEORGE",
"middle_name": "JOE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-30",
"last_updated": "2011-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "16394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.