Thomas John Meschke, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10252 Issued in MN

Practice address

2634 Shadow LN
Suite 101
Chaska, MN 55318-1119

Phone

(952) 448-4151

Fax

(952) 448-6856

NPI assigned

Nov 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 27, 2016 through Apr 27, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chaska Dental Center, P.a.

  • General Practice Dentistry
  • Chaska, MN
  • NPI 1891867941
  NPD (past) Authorized official

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457424962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 SHADOW LN",
            "address_2": "SUITE 101",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181119",
            "telephone_number": "952-448-4151",
            "fax_number": "952-448-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 SHADOW LN",
            "address_2": "SUITE 101",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181119",
            "telephone_number": "952-448-4151",
            "fax_number": "952-448-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESCHKE",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James L Mayerle
• Maureen Annette McConnell, RN
• Thomas Alan McLarnan, MSW, LICSW
• Molly Dillon McMahon, D.D.S. M.S.
• Josephine Melek
• Metropolitan Anesthesia Consultants, LLC
• Ethan Meyer
• Ruben Meza Maldonado Jr., LICSW
• Allison Midwinter, MSW, LICSW
• Vicki Jane Miles, P.T.

• General Practice Dentistry in Chaska, MN
• Providers in Chaska, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.