Active NPI
David Mark Meadow, D.M.D.
- Pediatric Dentistry
- West Windsor, NJ
National Provider Identifier
1205057734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DI12987
- Practice address
- 265 Princeton-Hightstown Rd.
West Windsor, NJ 08540 - Phone
- (609) 799-7722
- Fax
- (609) 799-7740
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DI12987 | NJ | Primary |
Addresses
Primary practice location
265 Princeton-Hightstown Rd.
West Windsor, NJ 08540
Mailing address
265 Princeton-Hightstown Rd.
West Windsor, NJ 08540
Phone (609) 799-7722
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 |
|---|---|---|---|
| DI12987 | NJ | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205057734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 PRINCETON-HIGHTSTOWN RD.",
"city": "WEST WINDSOR",
"state": "NJ",
"postal_code": "08540",
"telephone_number": "609-799-7722",
"fax_number": "609-799-7740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 PRINCETON-HIGHTSTOWN RD.",
"city": "WEST WINDSOR",
"state": "NJ",
"postal_code": "08540",
"telephone_number": "609-799-7722",
"fax_number": "609-799-7740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADOW",
"first_name": "DAVID",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "DI12987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Windsor, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.