Active NPI
Meagan Nicole Fancher, DDS
- Dentist
- Jacksonville, TX
National Provider Identifier
1649653460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 31093
- 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, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 31093 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fancher Family Dentistry | Current | Accepting new patients | |
| Frankston Dental Office | General Practice | Past | Accepting new patients |
| Crestway Park Dental, P.a. | General Practice | Past | Accepting new patients |
| Halberdent | General Practice | Past | 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.
-
- Dental Clinic/Center
- Jacksonville, TX
- NPI 1679262083
-
dba Allen Family Dentistry
- General Practice Dentistry
- Athens, TX
- NPI 1508021114
-
- General Practice Dentistry
- Frankston, TX
- NPI 1255433470
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
- Evercareplus Inc (EverCarePlus Pharmacy)
- Faith Community Disease Prevention and Health Promotion Foundation (Faith WoRx)
- Family & Cosmetic Dentistry PC
- Family First Urgent Care PLLC
- Fancher Family Dentistry
- Donna Lee Faulkner, LPC
- Lynsie Ann Fisher, LPC
- Thomas Fitzpatrick, M.D.
- Larry Lofton Folden, D.D.S.
- Ryan Dean Ford, M.D.
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.