Mark James Meckes, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43371 Issued in CA

Practice address

5580 E 2ND St
207
Long Beach, CA 90803-3946

Phone

(562) 438-9994

NPI assigned

Apr 2, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 May 6, 2016 through May 6, 2028

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.

• Mark J. Meckes, DDS, Inc.

  • Dentist
  • Long Beach, CA
  • NPI 1700974615
  NPD (past) Authorized official

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1588907141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 E 2ND ST",
            "address_2": "207",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908033946",
            "telephone_number": "562-438-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5580 E 2ND ST",
            "address_2": "207",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908033946",
            "telephone_number": "562-438-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECKES",
        "first_name": "MARK",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-02",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Mealer
• Meals on Wheels of Long Beach, Inc.
• Aunalee Michael Means
• Carina Means
• Dawn Mecias
• Judy Cruz Meckna
• Medcessity Inc.
• Medcompounders Pharmacy Inc
• Zachary Medeiros
• Medelity Healthcare, Inc.

• General Practice Dentistry in Long Beach, CA
• Providers in Long Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.