Individual provider Active NPI

Stefanie Gardner Meek, D.D.S.

  • Pediatric Dentistry
  • Conway, AR
National Provider Identifier
1467891606
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
3944 Issued in AR
Practice address
2700 Allyson LN
Conway, AR 72034-6281
Phone
(501) 730-0375
NPI assigned
Jun 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9668 TN
Pediatric Dentistry 1223P0221X 3944 AR Primary

Addresses

Primary practice location

2700 Allyson LN
Conway, AR 72034-6281

Mailing address

PO Box 11020
Conway, AR 72034-0018
Phone (501) 581-3380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9668TNMDDentist
3944ARMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
PDG Dental Group PLLC Pediatric Dentistry PastSince Sep 20, 2022 Accepting new patients
G Friend DDS Ms & M Wilson DDS Ms PA Pediatric Dentistry Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1467891606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11020",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720340018",
            "telephone_number": "501-581-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 ALLYSON LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346281",
            "telephone_number": "501-730-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEK",
        "first_name": "STEFANIE",
        "middle_name": "GARDNER",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9668",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AR",
            "license": "3944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.