Ximena Meza-Baertsch, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

249875 Issued in WI

Practice address

1801 W Wisconsin Ave Ste 4
Milwaukee, WI 53233-2186

Phone

(414) 288-0787

NPI assigned

Aug 24, 2009

Last updated

Nov 22, 2016By the provider in NPPES

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 names 1

• Dr. Nohora Ximena Meza Former name

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 Jun 22, 2016 through Jun 22, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1518190610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15335 CASEY CIR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054150",
            "telephone_number": "262-627-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W WISCONSIN AVE STE 4",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532332186",
            "telephone_number": "414-288-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZA-BAERTSCH",
        "first_name": "XIMENA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "249875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOHORA",
            "last_name": "MEZA",
            "middle_name": "XIMENA",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Meyers
• Jessica Meyers
• Molly W Meyers, M.D.
• Patricia Stefanie Meyers, PT
• Tracy J Meylor, PTA
• Michelle Tina Mezaros-Olson, NURSE PRACITIONER
• Keltoum Mezraoui
• Mga Services LLC
• MH Imaging - Mke 3T
• MHS Convenient Care Clinic

• Dentist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.