Individual provider Active NPI

Meagan Nicole Fancher, DDS

  • Dentist
  • Jacksonville, TX
National Provider Identifier
1649653460
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31093 Issued in TX
Practice address
215 S Ragsdale Street
Jacksonville, TX 75766-4933
Phone
(903) 485-5557
Fax
(903) 206-8088
NPI assigned
Jun 30, 2015
Last updated
May 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 31093 TX Primary
General Practice Dentistry 1223G0001X 31093 TX

Addresses

Primary practice location

215 S Ragsdale Street
Jacksonville, TX 75766-4933

Mailing address

215 S Ragsdale Street
Jacksonville, TX 75766
Phone (903) 485-5557

Other names 1

  • Meagan Nicole Andress Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL office@fancherfamilydentistry.com Direct

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
31093TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Fancher Family Dentistry CurrentSince May 7, 2023 Accepting new patients
Frankston Dental Office General Practice PastSince Aug 1, 2022 Accepting new patients
Crestway Park Dental, P.a. General Practice PastSince Mar 27, 2022 Accepting new patients
Halberdent General Practice PastSince Aug 1, 2022 Accepting new patients

Locations

215 S Ragsdale St
Jacksonville, TX 75766
Phone (903) 485-5557

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1649653460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S RAGSDALE STREET",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "75766",
            "telephone_number": "903-485-5557",
            "fax_number": "903-206-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S RAGSDALE STREET",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757664933",
            "telephone_number": "903-485-5557",
            "fax_number": "903-206-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANCHER",
        "first_name": "MEAGAN",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31093",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31093",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "office@fancherfamilydentistry.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "215 S Ragsdale St",
            "city": "Jacksonville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757664933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEAGAN",
            "last_name": "ANDRESS",
            "middle_name": "NICOLE",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.