Bryan Meriam, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

11001 Issued in CT

Practice address

87 State St
Guilford, CT 06437-2723

Phone

(203) 458-4450

NPI assigned

May 20, 2009

Last updated

Mar 18, 2014By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 4, 2016 through May 4, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• GM Surgical Associates LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Norwich, CT
  • NPI 1912428160
  NPD Authorized official
• Coastal Connecticut Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Guilford, CT
  • NPI 1811199458
  NPD (past)

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1285869107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 STATE ST",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372723",
            "telephone_number": "203-458-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 STATE ST",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372723",
            "telephone_number": "203-458-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERIAM",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-20",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "11001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Warner PHD LLC (Guilford Psychological Services)
• Tobie Meisel, JD,LCSW
• Tara Melaccio, OTR/L
• Manal Mena, DC
• Eric Meoli, PT, DPT
• Catherine Ellen Meriano, JD, MHS, OTR/L
• Michael G Merlini, DDS
• Melissa Volpe Merwin, DMD
• Roseanne Meyer Martinez, APRN
• Jerome Meyer, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Guilford, CT
• Providers in Guilford, CT by specialty
• Oral and Maxillofacial Surgery (Dentist) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.