Kenneth Aric Meeker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7788 Issued in NC

Practice address

512 Plaza Blvd
Kinston, NC 28501

Phone

(252) 527-1111

Fax

(252) 364-4975

NPI assigned

Aug 16, 2006

Last updated

Jul 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Practice roles

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.

• Meeker and Associates, DDS, PA

  dba Kinston Dental Care Center

  • General Practice Dentistry
  • Kinston, NC
  • NPI 1447405550
  NPD (past) Authorized official

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1205949187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 PLAZA BLVD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "28501",
            "telephone_number": "252-527-1111",
            "fax_number": "252-364-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 PLAZA BLVD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "28501",
            "telephone_number": "252-527-1111",
            "fax_number": "252-364-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEKER",
        "first_name": "KENNETH",
        "middle_name": "ARIC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902708",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Yvonne Meador, LPA
• Medi-K Inc (Medsource Pharmacy)
• Medi-K Inc (MedSource Pharmacy)
• Medicaid Made Simple LLC
• Meeker and Associates, DDS, PA (Kinston Dental Care Center)
• Melissa Mertely, PLLC (Melissa Mertely)
• Caitlin Trexel Melvin
• Melissa Marie Mertely, DDS
• Method Home Care, LLC
• Rendell Lee Michel

• General Practice Dentistry in Kinston, NC
• Providers in Kinston, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.