Lawrence J Mesich, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

3963 Issued in TN

Practice address

730 E 11TH St
Chattanooga, TN 37403-3103

Phone

(423) 265-5708

Fax

(423) 265-5713

NPI assigned

Feb 21, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1265577704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11263",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374012263",
            "telephone_number": "423-778-3274",
            "fax_number": "423-778-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 E 11TH ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374033103",
            "telephone_number": "423-265-5708",
            "fax_number": "423-265-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESICH",
        "first_name": "LAWRENCE",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "3963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Merrill, PHARMD
• Polly Elizabeth Merriman, PHARMD
• Caitlin Moore Merritt, LPC/MHSP, M.ED., NCC
• Laura Beth Meschke, PA-C
• Christopher Meshberger, M.D.
• Casey L Messer, PA-C
• Hannah Elizabeth Messer
• James K Metcalfe, MD
• Megan S Metelka, CRNA
• Kyle Mether

• Dentist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.