NPIMap

Organization Active NPI

Meera Menon

  • General Practice Dentistry
  • Waterbury, CT
National Provider Identifier
1124201728
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
007137 Issued in CT
Legal business name
MEERA MENON
Practice address
135 Bank St
Waterbury, CT 06702-2205
Phone
(203) 755-7979
Fax
(203) 755-9598
NPI assigned
Dec 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Mrs. Meera Menon, DMD
Title
Owner
Phone
(203) 755-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 007137 CT Primary

Addresses

Primary practice location

135 Bank St
Waterbury, CT 06702-2205

Mailing address

135 Bank St
Waterbury, CT 06702-2205
Phone (203) 755-7979

National Provider Directory

National Provider Directory

Locations

135 Bank St
Waterbury, CT 06702
Phone (203) 393-5505

Practitioners & affiliated clinicians

Practitioners 4

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": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1124201728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 BANK ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022205",
            "telephone_number": "203-755-7979",
            "fax_number": "203-755-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BANK ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022205",
            "telephone_number": "203-755-7979",
            "fax_number": "203-755-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEERA MENON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "MENON",
        "authorized_official_first_name": "MEERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-755-7979",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "007137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.