Individual provider Active NPI

Kenneth Adam Meinbach, DDS

  • General Practice Dentistry
  • North Palm Beach, FL
National Provider Identifier
1326170879
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17690 Issued in FL
Practice address
860 Us1 Suite 101
North Palm Beach, FL 33408
Phone
(305) 772-1778
NPI assigned
Mar 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN17690 FL Primary

Addresses

Primary practice location

860 Us1 Suite 101
North Palm Beach, FL 33408

Mailing address

1035 Sanctuary Cove Dr
West Palm Beach, FL 33410-4534
Phone (305) 772-1778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN17690FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1326170879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 SANCTUARY COVE DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334104534",
            "telephone_number": "305-772-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 US1 SUITE 101",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "33408",
            "telephone_number": "305-772-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEINBACH",
        "first_name": "KENNETH",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.