Organization Active NPI

Meta Endo PLLC

Doing business as META Endodontics

  • Endodontics
  • Deerfield, IL
National Provider Identifier
1316784739
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
META ENDO PLLC
Doing business as
META Endodontics
Practice address
707 Lake Cook Rd Ste 300
Deerfield, IL 60015-5276
Phone
(773) 413-9826
NPI assigned
Jul 12, 2024
Last updated
Jul 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Dr. Tam Minh Trinh, DDSNPI 1366706475
Title
Partner
Phone
(502) 319-0611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

707 Lake Cook Rd Ste 300
Deerfield, IL 60015-5276

Mailing address

6504 N Oxford Ave
Chicago, IL 60631-1529
Phone (502) 319-0611

Other names 1

  • META Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

707 Lake Cook Rd
Ste 300
Deerfield, IL 60015
Phone (773) 413-9826

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": "1720742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1316784739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6504 N OXFORD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311529",
            "telephone_number": "502-319-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 LAKE COOK RD STE 300",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155276",
            "telephone_number": "773-413-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "META ENDO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "TRINH",
        "authorized_official_first_name": "TAM",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "502-319-0611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "META Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.