Individual provider Active NPI

Martha Mehr, DDS

  • Dentist
  • Leesburg, FL
National Provider Identifier
1326339417
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14896 Issued in FL
Practice address
606 W Magnolia St
Leesburg, FL 34748-5892
Phone
(352) 787-4800
Fax
(352) 787-9091
NPI assigned
Apr 25, 2011
Last updated
Apr 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14896 FL Primary

Addresses

Primary practice location

606 W Magnolia St
Leesburg, FL 34748-5892

Mailing address

606 W Magnolia St
Leesburg, FL 34748-5892
Phone (352) 787-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160301001424 FL Order and Referring Only - DentistPractitioner - Dentist 1658676564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14896FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
The Main Street Dentists Inc Dentist Past Accepting new patients
Stephen George DMD PLLC PastSince Jul 4, 2021 Accepting new patients

Organizations & group practices 2

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": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1326339417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 W MAGNOLIA ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485892",
            "telephone_number": "352-787-4800",
            "fax_number": "352-787-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W MAGNOLIA ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485892",
            "telephone_number": "352-787-4800",
            "fax_number": "352-787-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHR",
        "first_name": "MARTHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "14896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.