Organization Active NPI

Meachum Dental Corporation

  • General Practice Dentistry
  • Dana Point, CA
National Provider Identifier
1376906834
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61941 Issued in CA
Legal business name
MEACHUM DENTAL CORPORATION
Practice address
33621 Del Obispo St
Suite G
Dana Point, CA 92629-2100
Phone
(949) 661-2158
NPI assigned
Apr 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name
Dr. Christina Minh-Thu Meachum, D.D.S.
Title
President
Phone
(949) 661-2158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 61941 CA Primary

Addresses

Primary practice location

33621 Del Obispo St
Suite G
Dana Point, CA 92629-2100

Mailing address

33621 Del Obispo St
Suite G
Dana Point, CA 92629-2100
Phone (949) 661-2158

National Provider Directory

National Provider Directory

Locations

33621 Del Obispo St
Ste G
Dana Point, CA 92629
Phone (949) 661-2158

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1376906834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33621 DEL OBISPO ST",
            "address_2": "SUITE G",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292100",
            "telephone_number": "949-661-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33621 DEL OBISPO ST",
            "address_2": "SUITE G",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292100",
            "telephone_number": "949-661-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEACHUM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "MEACHUM",
        "authorized_official_first_name": "CHRISTINA MINH-THU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-661-2158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dana Point, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.