Thais Meredith, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

019030741 Issued in IL

Practice address

2501 24TH St Ste 3
Rock Island, IL 61201-5300

Phone

(309) 788-3398

NPI assigned

Jun 30, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rock Island Dental Associates LLP

  • General Practice Dentistry
  • Rock Island, IL
  • NPI 1710571294
  NPD Authorized official
• Galva Family Dentistry, Inc.

  • General Practice Dentistry
  • Aledo, IL
  • NPI 1982069209
  NPD (past)

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1124479266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 24TH ST STE 3",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015300",
            "telephone_number": "309-788-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 24TH ST STE 3",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015300",
            "telephone_number": "309-788-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "THAIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019030741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan E Medinger, RN
• Amanda Meegan
• Martha Meg Mellecker, RPH, PHARMD
• Kerry Mendoza
• Richard Stavros Mento, D.C.
• Scott David Meskimen, CPNP
• Shannon Mess
• Jane A Meyer, MNT
• Ellie Marie Meyers
• Joanne A Michaelson, MD

• Dentist in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.