Individual provider Active NPI

Joseph Charles Meng, DDS, MS

  • Prosthodontics
  • Missoula, MT
National Provider Identifier
1104155423
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
2346 Issued in MT
Practice address
2315 McDonald Ave Ste 310
Missoula, MT 59801-7347
Phone
(406) 543-5647
NPI assigned
Dec 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 2346 MT Primary

Addresses

Primary practice location

2315 McDonald Ave Ste 310
Missoula, MT 59801-7347

Mailing address

2315 McDonald Ave Ste 310
Missoula, MT 59801-7347
Phone (406) 543-5647

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@mengdental.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150714001552 MT Order and Referring Only - DentistPractitioner - Dentist 7416268818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2346MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Meng Dentistry, PLLC Prosthodontics CurrentSince May 28, 2015 Accepting new patients

Locations

2315 McDonald Ave
Ste 310
Missoula, MT 59801
Phone (406) 543-5647

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.

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1104155423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 MCDONALD AVE STE 310",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017347",
            "telephone_number": "406-543-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 MCDONALD AVE STE 310",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017347",
            "telephone_number": "406-543-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENG",
        "first_name": "JOSEPH",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-15",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MT",
            "license": "2346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mengdental.com",
            "affiliation": "N",
            "endpointDescription": "secure office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2315 McDonald Ave Ste 310",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598017347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.