Organization Active NPI

Frederick D. Mesloh PC

  • General Practice Dentistry
  • Greenfield, MA
National Provider Identifier
1386830883
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16367 Issued in MA
Legal business name
FREDERICK D. MESLOH PC
Doing business as
Riddell Dental
Practice address
33 Riddell St
Greenfield, MA 01301-2025
Phone
(413) 774-7996
Fax
(413) 774-7271
NPI assigned
Sep 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Frederick D Mesloh, DDS
Title
Owner
Phone
(413) 774-7996

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 16367 MA Primary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 13181 MA

Addresses

Primary practice location

33 Riddell St
Greenfield, MA 01301-2025

Mailing address

33 Riddell St
Greenfield, MA 01301-2025
Phone (413) 774-7996

Other names 1

  • Riddell Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1386830883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 RIDDELL ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012025",
            "telephone_number": "413-774-7996",
            "fax_number": "413-774-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 RIDDELL ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012025",
            "telephone_number": "413-774-7996",
            "fax_number": "413-774-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK D. MESLOH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "MESLOH",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-774-7996",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16367",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "13181",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riddell Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.