Organization Active NPI

Indialantic Dental PA

  • General Practice Dentistry
  • Indialantic, FL
National Provider Identifier
1568375277
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
INDIALANTIC DENTAL PA
Practice address
329 4TH Ave
Indialantic, FL 32903-4213
Phone
(321) 723-5242
Fax
(321) 676-3230
NPI assigned
Sep 24, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Authorized official

Name
Dr. Meagan F Thomas, DMDNPI 1790192862
Title
Owner/Dentist
Phone
(321) 723-5242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

329 4TH Ave
Indialantic, FL 32903-4213

Mailing address

329 4TH Ave
Indialantic, FL 32903-4213
Phone (321) 723-5242

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1568375277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 4TH AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034213",
            "telephone_number": "321-723-5242",
            "fax_number": "321-676-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 4TH AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034213",
            "telephone_number": "321-723-5242",
            "fax_number": "321-676-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIALANTIC DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MEAGAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "321-723-5242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indialantic, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.