Individual provider Active NPI

John Leonard Meci, D.M.D.

  • General Practice Dentistry
  • Coplay, PA
National Provider Identifier
1407072010
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS018791L Issued in PA
Practice address
41 N 3Rd St
Coplay, PA 18037-1501
Phone
(610) 262-3436
Fax
(610) 262-2574
NPI assigned
Apr 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 DS018791L PA Primary

Addresses

Primary practice location

41 N 3Rd St
Coplay, PA 18037-1501

Mailing address

41 N 3Rd St
Coplay, PA 18037-1501
Phone (610) 262-3436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160120000538 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7113220476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407072010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 N 3RD ST",
            "city": "COPLAY",
            "state": "PA",
            "postal_code": "180371501",
            "telephone_number": "610-262-3436",
            "fax_number": "610-262-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 N 3RD ST",
            "city": "COPLAY",
            "state": "PA",
            "postal_code": "180371501",
            "telephone_number": "610-262-3436",
            "fax_number": "610-262-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECI",
        "first_name": "JOHN",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS018791L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coplay, PA

Sources for this page

Verify at the official NPI Registry.