NPIMap

Organization Active NPI

Meadows Lutcavage Smith Vinton Fidler Long & Armstrong PA

Doing business as Eastern Carolina Oral & Maxillofacial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Jacksonville, NC
National Provider Identifier
1326105933
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
3953 Issued in NC
Legal business name
MEADOWS LUTCAVAGE SMITH VINTON FIDLER LONG & ARMSTRONG PA
Doing business as
Eastern Carolina Oral & Maxillofacial Surgery
Practice address
46 Office Park Dr
Jacksonville, NC 28546-3217
Phone
(910) 353-3535
Fax
(910) 353-3535
NPI assigned
Jan 2, 2007
Last updated
Jul 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Authorized official

Name
Dr. John Thomas MeadowsNPI 1396797627
Title
Doctor
Phone
(910) 353-3535

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
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 3953 NC Primary

Addresses

Primary practice location

46 Office Park Dr
Jacksonville, NC 28546-3217

Mailing address

46 Office Park Dr
Jacksonville, NC 28546-3217
Phone (910) 353-3535

Other identifiers 3

IdentifierTypeStateIssuer
02601OtherNCBCBS GROUP #
8902601MedicaidNC
744032OtherUCCI

Other names 1

  • Eastern Carolina Oral & Maxillofacial Surgery Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1326105933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 OFFICE PARK DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285463217",
            "telephone_number": "910-353-3535",
            "fax_number": "910-353-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 OFFICE PARK DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285463217",
            "telephone_number": "910-353-3535",
            "fax_number": "910-353-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWS LUTCAVAGE SMITH VINTON FIDLER LONG & ARMSTRONG PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "910-353-3535",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NC",
            "license": "3953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "02601",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902601",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "744032",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Carolina Oral & Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.