Active NPI
Mark Lawrence Meyer, D.D.S.
- Pediatric Dentistry
- Winston-Salem, NC
National Provider Identifier
1528035946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 5515
- Practice address
- 1544 N Peace Haven Rd
Winston-Salem, NC 27104-1328 - Phone
- (336) 768-1332
- Fax
- (336) 768-9470
- NPI assigned
- Mar 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 5515 | NC | Primary |
| Pediatric Dentistry | 1223P0221X | 6798 | VA |
Addresses
Primary practice location
1544 N Peace Haven Rd
Winston-Salem, NC 27104-1328
Mailing address
1544 N Peace Haven Rd
Winston-Salem, NC 27104-1328
Phone (336) 768-1332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 899590C | Medicaid | NC |
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 |
|---|---|---|---|
| 5515 | NC | MD | Pediatric Dentist |
| 6798 | VA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spangler, Lambert and Lipp, DDS, PLLC | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Winston Salem, NC
- NPI 1053340109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1528035946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1544 N PEACE HAVEN RD",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271041328",
"telephone_number": "336-768-1332",
"fax_number": "336-768-9470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1544 N PEACE HAVEN RD",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271041328",
"telephone_number": "336-768-1332",
"fax_number": "336-768-9470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "MARK",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "5515",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "6798",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "899590C",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston-Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.