Meckler Dental Providers (Beachwood), Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MECKLER DENTAL PROVIDERS (BEACHWOOD), INC.

Practice address

27540 Chagrin Blvd
Beachwood, OH 44122-4424

Phone

(216) 378-2282

Fax

(216) 584-1086

NPI assigned

Dec 31, 2015

Organization subpart

Yes

Parent organization

DENTALONE PARTNERS, INCAs reported in NPPES

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

Authorized official

Name

Rachel Nittinger

Title

Manager Credentialing

Phone

(972) 755-0816

Specialties & licenses 1

Addresses

Other names 1

• Dentalworks of Beachwood Doing business as

Locations

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1427414762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7160 DALLAS PKWY STE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27540 CHAGRIN BLVD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224424",
            "telephone_number": "216-378-2282",
            "fax_number": "216-584-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECKLER DENTAL PROVIDERS (BEACHWOOD), INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTALONE PARTNERS, INC",
        "enumeration_date": "2015-12-31",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "NITTINGER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "MANAGER CREDENTIALING",
        "authorized_official_telephone_number": "972-755-0816"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentalworks of Beachwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Mary McNulty, LSW
• Donald McPhillips
• Jordan McQuilkin, MD
• Angela Lynn McVicker, SLP
• Elizabeth Wingfield Mease, MD
• Lindsey Christine Meder, NP-C
• Lisa E Meek, MD
• Marsha L Meeker, PT
• Deborah Kay Meeks, F.N.P.
• Mary Jen Meerdink, PH.D.

• General Practice Dentistry in Beachwood, OH
• Providers in Beachwood, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.