Active NPI
Meggan Dimerling, DMD
- General Practice Dentistry
- Azle, TX
National Provider Identifier
1689235590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 35205
- Practice address
- 600 Boyd Rd Ste B
Azle, TX 76020-4860 - Phone
- (469) 565-1206
- NPI assigned
- Jun 23, 2019
- Last updated
- Jun 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 35205 | TX | Primary |
Addresses
Primary practice location
600 Boyd Rd Ste B
Azle, TX 76020-4860
Mailing address
801 Cowan LN
McKinney, TX 75071-6319
Phone (713) 647-2628
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 |
|---|---|---|---|
| 35205 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561248000000",
"number": "1689235590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 COWAN LN",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750716319",
"telephone_number": "713-647-2628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 BOYD RD STE B",
"city": "AZLE",
"state": "TX",
"postal_code": "760204860",
"telephone_number": "469-565-1206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMERLING",
"first_name": "MEGGAN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-23",
"last_updated": "2019-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "35205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Azle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.