NPIMap

Organization Active NPI

Mark M. Meredith, DDS, Inc.

  • Dental Clinic/Center
  • Columbia, LA
National Provider Identifier
1306064936
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3006 Issued in LA
Legal business name
MARK M. MEREDITH, DDS, INC.
Practice address
8079 US Hwy 165
Columbia, LA 71418-0360
Phone
(318) 649-6161
Fax
(318) 649-6144
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sarah V Overturf, R.D.H.
Title
Office Manager-Dental Hygienist
Phone
(318) 649-6161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3006 LA Primary

Addresses

Primary practice location

8079 US Hwy 165
Columbia, LA 71418-0360

Mailing address

PO Box 360
Columbia, LA 71418-0360
Phone (318) 649-6161

National Provider Directory

National Provider Directory
Tax ID family
Mark M Meredith DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306064936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "714180360",
            "telephone_number": "318-649-6161",
            "fax_number": "318-649-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8079 US HWY 165",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "714180360",
            "telephone_number": "318-649-6161",
            "fax_number": "318-649-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK M. MEREDITH, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OVERTURF",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OFFICE MANAGER-DENTAL HYGIENIST",
        "authorized_official_telephone_number": "318-649-6161",
        "authorized_official_credential": "R.D.H."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "LA",
            "license": "3006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.