Individual provider Active NPI

Jodie Elizabeth Meredith, DDS

  • Dentist
  • Mechanicsville, VA
National Provider Identifier
1104259266
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401414106 Issued in VA
Practice address
7239 Mechanicsville Tpke Ste 5
Mechanicsville, VA 23111-3557
Phone
(804) 730-9414
Fax
(804) 730-3664
NPI assigned
Aug 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401414106 VA Primary

Addresses

Primary practice location

7239 Mechanicsville Tpke Ste 5
Mechanicsville, VA 23111-3557

Mailing address

7239 Mechanicsville Tpke Ste 5
Mechanicsville, VA 23111-3557
Phone (804) 730-9414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20180807003541 VA Order and Referring Only - DentistPractitioner - Dentist 4981952942

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jodie E. Meredith, DDS, PLLC Current Accepting new patients

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": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1104259266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7239 MECHANICSVILLE TPKE STE 5",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113557",
            "telephone_number": "804-730-9414",
            "fax_number": "804-730-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7239 MECHANICSVILLE TPKE STE 5",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113557",
            "telephone_number": "804-730-9414",
            "fax_number": "804-730-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "JODIE",
        "middle_name": "ELIZABETH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.