Individual provider Active NPI

Aline A Mesh, D.M.D.

  • General Practice Dentistry
  • Fenton, MI
National Provider Identifier
1164623112
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13362 Issued in MI
Practice address
15555 Silver Pkwy
Fenton, MI 48430-3445
Phone
(810) 750-1000
Fax
(810) 750-1444
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13362 MI Primary

Addresses

Primary practice location

15555 Silver Pkwy
Fenton, MI 48430-3445

Mailing address

15555 Silver Pkwy
Fenton, MI 48430-3445
Phone (810) 750-1000

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

LicenseStateTypeSpecialty
13362MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Mesh, P.C. General Practice PastSince Aug 2, 2020 Accepting new patients
DRS. Mesh, P.C. General Practice Past Accepting new patients

Organizations & group practices 2

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1164623112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15555 SILVER PKWY",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303445",
            "telephone_number": "810-750-1000",
            "fax_number": "810-750-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15555 SILVER PKWY",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303445",
            "telephone_number": "810-750-1000",
            "fax_number": "810-750-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESH",
        "first_name": "ALINE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "13362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.