Mark W Merideth, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5807 Issued in OK

Practice address

1390 W Cherokee St
Cleveland, OK 74020-4044

Phone

(918) 358-2300

Fax

(918) 358-2302

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1598814006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 W CHEROKEE ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740204044",
            "telephone_number": "918-358-2300",
            "fax_number": "918-358-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 W CHEROKEE ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740204044",
            "telephone_number": "918-358-2300",
            "fax_number": "918-358-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERIDETH",
        "first_name": "MARK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200062770A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sierra Rose McFarland
• Sharon Lynn McGee
• Dana Marie McGill, PTA
• Anita Lynn Meadows
• Kendall Meeks
• Markishia Miller
• Paige McKenzie Miller
• Sean Patrick Mills, MSN, APRN, FNP-C
• Dakota Blane Mooney, DPT
• Moore Healthcare Inc (Palace Drug Store)

• General Practice Dentistry in Cleveland, OK
• Providers in Cleveland, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.