Organization Active NPI

Meng Dentistry

  • Dental Clinic/Center
  • Missoula, MT
National Provider Identifier
1194094672
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1525 Issued in MT
Legal business name
MENG DENTISTRY
Practice address
2831 Fort Missoula Rd
Suite 204
Missoula, MT 59804-7419
Phone
(406) 543-5647
Fax
(406) 728-2031
NPI assigned
Dec 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Dr. Vincent W Meng
Title
Dentist/Practice Owner
Phone
(406) 543-5647

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1525 MT Primary
Dental Clinic/Center 261QD0000X 2346 MT

Addresses

Primary practice location

2831 Fort Missoula Rd
Suite 204
Missoula, MT 59804-7419

Mailing address

2831 Fort Missoula Rd
Suite 204
Missoula, MT 59804-7419
Phone (406) 543-5647

Other identifiers 1

IdentifierTypeStateIssuer
138892MedicaidMT

National Provider Directory

National Provider Directory

Locations

2831 Fort Missoula Rd
Ste 204
Missoula, MT 59804
Phone (406) 215-2755

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1194094672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD",
            "address_2": "SUITE 204",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047419",
            "telephone_number": "406-543-5647",
            "fax_number": "406-728-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD",
            "address_2": "SUITE 204",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047419",
            "telephone_number": "406-543-5647",
            "fax_number": "406-728-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENG DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "MENG",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST/PRACTICE OWNER",
        "authorized_official_telephone_number": "406-543-5647",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MT",
            "license": "1525",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MT",
            "license": "2346",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138892",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.