Individual provider Active NPI

Brandon Jon Meier, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Waltham, MA
National Provider Identifier
1326214248
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
9527 Issued in MA
Practice address
300 Winter St Unit 1
Waltham, MA 02451-8763
Phone
(267) 253-9123
NPI assigned
Apr 30, 2008
Last updated
Apr 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 9527 MA Primary

Addresses

Primary practice location

300 Winter St Unit 1
Waltham, MA 02451-8763

Mailing address

300 Winter St Unit 1
Waltham, MA 02451-8763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20120713000349 MA Practitioner - Oral Surgery 0345405502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theoharidis and Meier PCGroup PAC ID 8729151154, 3 clinicians

Practice addresses (Care Compare)

241 Station Ave
S Yarmouth, MA 02664-1863
Phone (508) 398-6055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9527MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Cape Oral Surgeons PC Oral and Maxillofacial Surgery CurrentSince Apr 19, 2012 Accepting new patients

Locations

241 Station Ave
South Yarmouth, MA 02664
Phone (508) 398-6055

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": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1326214248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WINTER ST UNIT 1",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024518763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WINTER ST UNIT 1",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024518763",
            "telephone_number": "267-253-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIER",
        "first_name": "BRANDON",
        "middle_name": "JON",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "9527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.