Joanna Meekay, DDS, MS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

104680 Issued in CA

Practice address

120 S El Camino Real Ste 1
Millbrae, CA 94030-3133

Phone

(650) 689-5355

NPI assigned

Mar 23, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1457882177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12265",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954062265",
            "telephone_number": "916-600-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S EL CAMINO REAL STE 1",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940303133",
            "telephone_number": "650-689-5355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7428 Redwood Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949452419",
            "country_code": "US",
            "telephone_number": "415-897-5566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEEKAY",
        "first_name": "JOANNA",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "104680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justina Mar, PHARMD
• Alan David Marcus
• Diane Marquez Howard, MFT
• Francisco Tale Martinez II
• Randall Craig Medefesser, DDS
• Fabiana Melo, DDS
• Millbrae Assisted Living Center LLC
• Millbrae Assisted Living Home LLC
• Millbrae Care Center LLC
• Millbrae Harmony House, LLC

• Pediatric Dentistry in Millbrae, CA
• Providers in Millbrae, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.