Meena Harshad Mehta, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

10499 Issued in GA

Practice address

3981 A Lawrenceville Hwy
Tucker, GA 30084

Phone

(770) 491-1138

Fax

(770) 491-1168

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Meena H. Mehta

  • Dentist
  • Tucker, GA
  • NPI 1952661258
  NPD (past) Authorized official

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1497763395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 MCCURDY RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300871325",
            "telephone_number": "770-789-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3981 A LAWRENCEVILLE HWY",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "30084",
            "telephone_number": "770-491-1138",
            "fax_number": "770-491-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "MEENA",
        "middle_name": "HARSHAD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "10499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000362964V",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000362964L",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mediquip Medical Supplies Inc
• Mediquip Medical Supplies Inc of Tucker
• Mediwellness, LLC
• Medlife Medical Supply LLC
• Meena H. Mehta
• Neema Shah Mehta, P.T.
• Fabian Rafael Mejias
• Meltdown Fitness Atlanta, LLC
• Sarah Elizabeth Melvin
• Eugia Littlejohn Meminger, PH.D

• Dentist in Tucker, GA
• Providers in Tucker, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.