Active NPI
Jeffrey T. Meister, DDS
- General Practice Dentistry
- Munster, IN
National Provider Identifier
1194160549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12009034A
- Practice address
- 1630 45TH Ave
Suite 104
Munster, IN 46321-3963 - Phone
- (219) 924-8766
- Fax
- (219) 924-8762
- NPI assigned
- Apr 29, 2013
- Last updated
- Apr 29, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12009034A | IN | Primary |
Addresses
Primary practice location
1630 45TH Ave
Suite 104
Munster, IN 46321-3963
Mailing address
1630 45TH Ave
Suite 104
Munster, IN 46321-3963
Phone (219) 924-8766
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12009034A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey T. Meister, DDS, LLC | General Practice | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Munster, IN
- NPI 1821207853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367193600000",
"number": "1194160549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 45TH AVE",
"address_2": "SUITE 104",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463213963",
"telephone_number": "219-924-8766",
"fax_number": "219-924-8762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 45TH AVE",
"address_2": "SUITE 104",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463213963",
"telephone_number": "219-924-8766",
"fax_number": "219-924-8762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEISTER",
"first_name": "JEFFREY",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-29",
"last_updated": "2013-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12009034A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
- Medical Specialists Inc., P.C.
- Medical Specialists Inc., PC (Medical Specialists Center for Orthopaedics & Center for Podiatry)
- Medical Specialists Inc., PC (Medical Specialists & Child Life Center)
- Patricia Medina-McDevitt, M.D.
- Jeffrey D Meier, D.O.
- Natalie Donyelle Mengel, EDS, BCBA
- Jessica Lynn Mercado, NP-C
- Barbara J. Merlo, D.D.S.
- Teressa M Meseberg
- Karrah M Metz, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.