Active NPI
Jessica Meier, DMD
- General Practice Dentistry
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS039206
- Practice address
- 850 N 11TH St
Philadelphia, PA 19123-1957 - Phone
- (215) 769-1100
- NPI assigned
- Oct 19, 2012
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02516700 | NJ | |
| General Practice Dentistry | 1223G0001X | DS039206 | PA | Primary |
Addresses
Primary practice location
850 N 11TH St
Philadelphia, PA 19123-1957
Mailing address
300 N Haddon Ave
Haddonfield, NJ 08033-1723
Other practice location 1
1601 Walnut St
suite 1302
Philadelphia, PA 19102-2944
Phone (215) 568-2222
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02516700 | NJ | MD | General Practice Dentistry |
| DS039206 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resources for Human Development, Inc. | Current | Accepting new patients | |
| Family Practice & Counseling Services Network | General Practice | Current | Accepting new patients |
| Family Practice & Counseling Services Network, Inc. | Current | Accepting new patients | |
| Family Practice & Counseling Services Network, Inc. | Current | Accepting new patients | |
| Resources for Human Development, Inc. | Current | Accepting new patients | |
| Dr. Ken Cirka DMD | Past | Accepting new patients | |
| Resources for Human Development, Inc. | Past | Accepting new patients |
Locations
850 N 11th St
Philadelphia, PA 19123
Phone (215) 685-2684
4700 Wissahickon Ave
Ste 118
Philadelphia, PA 19144
Phone 26759736006771
2300 W Master St
Philadelphia, PA 19121
Phone (267) 687-1172
4700 Wissahickon Ave
Bldg D
Philadelphia, PA 19144
Phone (215) 843-9720
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1043204811
-
- Community/Behavioral Health Agency
- Bryn Mawr, PA
- NPI 1548395585
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1649991829
General Practice
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1689357782
-
- Case Management Agency
- Philadelphia, PA
- NPI 1023143690
-
- Dentist
- Phila, PA
- NPI 1306981840
-
- Federally Qualified Health Center (FQHC)
- York, PA
- NPI 1306127634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1699028258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N HADDON AVE",
"city": "HADDONFIELD",
"state": "NJ",
"postal_code": "080331723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 N 11TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191231957",
"telephone_number": "215-769-1100"
}
],
"practiceLocations": [
{
"address_1": "1601 Walnut St",
"address_2": "suite 1302",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191022944",
"country_code": "US",
"telephone_number": "215-568-2222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEIER",
"first_name": "JESSICA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-19",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02516700",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS039206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.