Meridian Endodontics and Periodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

6841.15 Issued in WI

Legal business name

MERIDIAN ENDODONTICS AND PERIODONTICS

Practice address

20350 Water Tower Blvd Ste 203
Brookfield, WI 53045-3558

Phone

(262) 327-6100

NPI assigned

Jun 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jared Frisbie-Teel

Title

Owner/Doctor

Phone

(262) 327-6100

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynne A Brock, D.D.S

  • Endodontics
  • Brookfield, WI
  • NPI 1699784421
  NPD (past)

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1275973166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20350 WATER TOWER BLVD STE 203",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530453558",
            "telephone_number": "262-327-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20350 WATER TOWER BLVD STE 203",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530453558",
            "telephone_number": "262-327-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN ENDODONTICS AND PERIODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "FRISBIE-TEEL",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "262-327-6100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WI",
            "license": "6591",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WI",
            "license": "6841.15",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "WI",
            "license": "6852.15",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Izaac Victor Mendoza, BA
• Jenavieve Raelene Mendoza
• Ana Victoria Menendez Bermudez, MD
• Jeanette Ann Menzia, MS CCC SLP
• Mequon Vascular Associates, S.C.
• Sandra K Merkel, MS, CCC-SLP
• Pamela Merten
• Joanne Metoff, M.D.
• Metro Milwaukee Anesthesia Associates SC
• Sarah Meuler, PT

• Endodontics in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Endodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.