Jim Meletlidis, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21705 Issued in MA

Practice address

40 Regency Drive
Dracut, MA 01826

Phone

(781) 266-7740

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr. Dental of Billerica PC

  • General Practice Dentistry
  • Billerica, MA
  • NPI 1144760265
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1194858647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 REGENCY DRIVE",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "01826",
            "telephone_number": "781-266-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 REGENCY DRIVE",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "01826",
            "telephone_number": "781-266-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELETLIDIS",
        "first_name": "JIM",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN29743",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryanne Matara
• Maxride Inc
• Alice Wangerwe Mbogo
• Caitlyn McCarthy, LICSW
• Maureen McSwiggin, CNM
• Merrimack Valley Chiropractic, Inc
• Merrimack Valley Dental Care PC
• Merrimack Valley Dental Care PC
• Merrimack Valley Dental Clinic PC
• Merrimack Valley Dentistry P.C.

• General Practice Dentistry in Dracut, MA
• Providers in Dracut, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.