Individual provider Active NPI

Matthew Paul Merideth, DMD

  • General Practice Dentistry
  • Algona, IA
National Provider Identifier
1669958617
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
09581 Issued in IA
Practice address
310 E Call St
Algona, IA 50511-2417
Phone
(515) 295-2334
Fax
(515) 395-2334
NPI assigned
Jul 12, 2018
Sex
Male
Sole proprietor
No

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.

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
09581IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Louscher Family Dentistry General Practice Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 09581 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

310 E Call St
Algona, IA 50511-2417

Mailing address

310 E Call St
Algona, IA 50511-2417
Phone (515) 295-2334

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 12, 2018.

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1669958617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E CALL ST",
            "city": "ALGONA",
            "state": "IA",
            "postal_code": "505112417",
            "telephone_number": "515-295-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E CALL ST",
            "city": "ALGONA",
            "state": "IA",
            "postal_code": "505112417",
            "telephone_number": "515-295-2334",
            "fax_number": "515-395-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERIDETH",
        "first_name": "MATTHEW",
        "middle_name": "PAUL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "09581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algona, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.