Organization Active NPI

Jodie E. Meredith, DDS, PLLC

  • Dental Clinic/Center
  • Mechanicsville, VA
National Provider Identifier
1447804117
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JODIE E. MEREDITH, DDS, PLLC
Practice address
7239 Mechanicsville Tpke
Mechanicsville, VA 23111-3557
Phone
(804) 730-9414
NPI assigned
Jul 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Authorized official

Name
Jodie Meredith, DDSNPI 1104259266
Title
Owner
Phone
(757) 589-0639

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

7239 Mechanicsville Tpke
Mechanicsville, VA 23111-3557

Mailing address

9106 Dove Creek PL
Mechanicsville, VA 23116-2868
Phone (757) 589-0639

Other names 1

  • Hanover Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

7239 Mechanicsville Tpke
Mechanicsvlle, VA 23111
Phone (804) 730-9414

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": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1447804117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9106 DOVE CREEK PL",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162868",
            "telephone_number": "757-589-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7239 MECHANICSVILLE TPKE",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113557",
            "telephone_number": "804-730-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODIE E. MEREDITH, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "MEREDITH",
        "authorized_official_first_name": "JODIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-589-0639",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanover Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.