Individual provider Active NPI

Francis Charles Mecadon, D.M.D

  • General Practice Dentistry
  • Scranton, PA
National Provider Identifier
1649280066
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS036531 Issued in PA
Practice address
2611 Pittston Ave
Scranton, PA 18505-3217
Phone
(570) 347-2046
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS036531 PA Primary

Addresses

Primary practice location

2611 Pittston Ave
Scranton, PA 18505-3217

Mailing address

92 Oak St
Pittston, PA 18640-3311
Phone (570) 655-2133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161028001097 PA Order and Referring Only - DentistPractitioner - Dentist 4587942339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS036531PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Richard a. Brazon DDS Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341273600000",
    "number": "1649280066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 OAK ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186403311",
            "telephone_number": "570-655-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 PITTSTON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185053217",
            "telephone_number": "570-347-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECADON",
        "first_name": "FRANCIS",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2012-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.