Individual provider Active NPI

Jessica Meier, DMD

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1699028258
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS039206 Issued in PA
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

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250523000187 PA Practitioner - Dentist 3476926429 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02516700NJMDGeneral Practice Dentistry
DS039206PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Resources for Human Development, Inc. CurrentSince Mar 3, 2025 Accepting new patients
Family Practice & Counseling Services Network General Practice CurrentSince Jun 15, 2025 Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Mar 3, 2025 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.

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

Verify at the official NPI Registry.