Individual provider Active NPI

Meriam Macauley, DDS

  • General Practice Dentistry
  • Bowie, MD
National Provider Identifier
1528640901
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18343 Issued in MD
Practice address
3233 Superior LN Ste B25
Bowie, MD 20715-1935
Phone
(732) 979-4788
NPI assigned
Apr 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02843200 NJ
General Practice Dentistry 1223G0001X 18343 MD Primary

Addresses

Primary practice location

3233 Superior LN Ste B25
Bowie, MD 20715-1935

Mailing address

690 Fairmont Dr Unit 205
Bowie, MD 20716-3567
Phone (732) 979-4788

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
18343MDMDGeneral Practice Dentistry
22DI02843200NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1619308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1528640901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 FAIRMONT DR UNIT 205",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163567",
            "telephone_number": "732-979-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 SUPERIOR LN STE B25",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151935",
            "telephone_number": "732-979-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACAULEY",
        "first_name": "MERIAM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-25",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02843200",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "18343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.