Individual provider Active NPI

Terry Christopher Meads Jr., DMD

  • Pediatric Dentistry
  • Las Vegas, NV
National Provider Identifier
1699153536
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
S6-183C Issued in NV
Practice address
4380 W Cactus Ave Ste 100
Las Vegas, NV 89141-8926
Phone
(702) 570-0241
NPI assigned
May 12, 2015
Last updated
Mar 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 33270 TX
Pediatric Dentistry 1223P0221X S6-183C NV Primary

Addresses

Primary practice location

4380 W Cactus Ave Ste 100
Las Vegas, NV 89141-8926

Mailing address

4380 W Cactus Ave Ste 100
Las Vegas, NV 89141-8926
Phone (702) 570-0241

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
S6-183CNVMDPediatric Dentist
33270TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Changing Smiles Pediatric Dentistry Pediatric Dentistry Current Accepting new patients
Gulati Highlands Dentistry, PC CurrentSince Jan 17, 2021 Accepting new patients

Locations

1750 Wheeler Peak Dr
Las Vegas, NV 89106
Phone (702) 272-1100

4380 W Cactus Ave
Ste 100
Las Vegas, NV 89141
Phone (702) 570-0241

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1699153536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380 W CACTUS AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418926",
            "telephone_number": "702-570-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 W CACTUS AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418926",
            "telephone_number": "702-570-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADS",
        "first_name": "TERRY",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "33270",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S6-183C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.