Individual provider Active NPI

Meredith Suzanne Minshew, DMD

  • Dentist
  • Gulfport, MS
National Provider Identifier
1639002470
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
112694 Issued in MS
Practice address
15503 Oak LN # 300B
Gulfport, MS 39503-2697
Phone
(228) 832-3231
Fax
(228) 832-3508
NPI assigned
Jun 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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 112694 MS
Dentist 122300000X 112694 MS Primary

Addresses

Primary practice location

15503 Oak LN # 300B
Gulfport, MS 39503-2697

Mailing address

15503 Oak LN # 300B
Gulfport, MS 39503-2697
Phone (228) 832-3231

Other practice location 1

232A Eisenhower Dr
Biloxi, MS 39531-3601
Phone (228) 388-9551

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
112694MSMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1639002470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15503 OAK LN # 300B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032697",
            "telephone_number": "228-832-3231",
            "fax_number": "228-832-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15503 OAK LN # 300B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032697",
            "telephone_number": "228-832-3231",
            "fax_number": "228-832-3508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "232A Eisenhower Dr",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395313601",
            "country_code": "US",
            "telephone_number": "228-388-9551",
            "fax_number": "228-388-9552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINSHEW",
        "first_name": "MEREDITH",
        "middle_name": "SUZANNE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "112694",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "112694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.