Individual provider Active NPI

John David Meister, DMD

  • Periodontics
  • Brentwood, TN
National Provider Identifier
1285946517
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
9670 Issued in TN
Practice address
1177 Old Hickory Blvd.
Ste. 101
Brentwood, TN 37027-4242
Phone
(615) 988-2603
Fax
(615) 988-2661
NPI assigned
Jul 1, 2010
Last updated
Jan 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 9670 TN Primary

Addresses

Primary practice location

1177 Old Hickory Blvd.
Ste. 101
Brentwood, TN 37027-4242

Mailing address

1177 Old Hickory Blvd.
Ste. 101
Brentwood, TN 37027-4242
Phone (615) 988-2603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20161213002086 TN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9234419094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9670TNMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Periodontal & Implant Associates of Middlet Tennessee, PLLC Periodontics PastSince Jan 12, 2020 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": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1285946517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 OLD HICKORY BLVD.",
            "address_2": "STE. 101",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274242",
            "telephone_number": "615-988-2603",
            "fax_number": "615-988-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 OLD HICKORY BLVD.",
            "address_2": "STE. 101",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274242",
            "telephone_number": "615-988-2603",
            "fax_number": "615-988-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISTER",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TN",
            "license": "9670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.