Active NPI
Lon Bryan Meader, D,M,D,
- General Practice Dentistry
- Virginia Beach, VA
National Provider Identifier
1285851618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401007973
- Practice address
- 5564 Indian River Rd
Virginia Beach, VA 23464-5233 - Phone
- (757) 424-1300
- Fax
- (757) 424-0219
- NPI assigned
- Apr 19, 2007
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401007973 | VA | Primary |
Addresses
Primary practice location
5564 Indian River Rd
Virginia Beach, VA 23464-5233
Mailing address
2933 Adam Keeling Rd
Virginia Beach, VA 23454-1041
Phone (757) 412-0194
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 |
|---|---|---|---|
| 0401007973 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lon Bryan Meader | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285851618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2933 ADAM KEELING RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234541041",
"telephone_number": "757-412-0194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5564 INDIAN RIVER RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234645233",
"telephone_number": "757-424-1300",
"fax_number": "757-424-0219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADER",
"first_name": "LON",
"middle_name": "BRYAN",
"name_prefix": "Dr.",
"credential": "D,M,D,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401007973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
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.