Active NPI
Meriam Micheal Baselious
- Dentist
- Stuart, FL
National Provider Identifier
1477309037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN30052
- Practice address
- 2410 NW Federal Hwy Ste a-110
Stuart, FL 34994-9314 - Phone
- (772) 214-1581
- NPI assigned
- Apr 25, 2024
- Last updated
- May 30, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN30052 | FL | Primary |
Addresses
Primary practice location
2410 NW Federal Hwy Ste a-110
Stuart, FL 34994-9314
Mailing address
47 Dogwood Cir
West Lebanon, NH 03784-1749
Phone (802) 356-9463
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN30052 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1477309037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 DOGWOOD CIR",
"city": "WEST LEBANON",
"state": "NH",
"postal_code": "037841749",
"telephone_number": "802-356-9463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 NW FEDERAL HWY STE A-110",
"city": "STUART",
"state": "FL",
"postal_code": "349949314",
"telephone_number": "772-214-1581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASELIOUS",
"first_name": "MERIAM",
"middle_name": "MICHEAL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-25",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN30052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.